Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $21.55 / $21.55	Facility		$21.55	$21.55	$21.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $22.79 / $27.74	Professional		$21.55	$22.79	$27.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $32.11	Facility		$16.30	$16.30	$32.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.30 / $37.50	Professional		$30.00	$30.30	$37.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $33.61 / $134.22	Facility		$20.79	$33.61	$134.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $18.89 / $33.38	Professional		$11.32	$18.89	$33.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $32.11 / $49.37	Facility		$26.71	$32.11	$49.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $32.56 / $61.38	Professional		$26.29	$32.56	$61.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $27.74 / $32.97	Professional		$23.69	$27.74	$32.97
United Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $17.11 / $23.62	Professional		$10.05	$17.11	$23.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61