Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $19.95	Professional		$10.00	$15.14	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $30.90	Facility		$18.62	$18.62	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $39.81	Professional		$31.62	$31.62	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $52.48	Facility		$21.38	$28.18	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $138.04	Professional		$10.96	$17.38	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $30.20	Professional		$25.12	$30.20	$30.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $50.12	Professional		$25.12	$25.12	$50.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $37.15	Professional		$23.44	$27.54	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $29.51	Professional		$10.96	$13.80	$29.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30