Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $16.26 / $19.03	Professional		$14.78	$16.26	$19.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $30.18	Facility		$18.45	$18.45	$30.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $31.88 / $39.84	Professional		$31.88	$31.88	$39.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $32.15 / $128.41	Facility		$23.49	$32.15	$128.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $17.73 / $30.09	Professional		$11.09	$17.73	$30.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $30.18 / $47.28	Facility		$25.09	$30.18	$47.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $30.60 / $57.68	Professional		$24.73	$30.60	$57.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $27.19 / $32.32	Professional		$23.23	$27.19	$32.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.34 / $23.15	Professional		$9.61	$14.34	$23.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $26.07	Professional		$26.07	$26.07	$26.07