Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $12.45 / $12.45	Facility		$12.45	$12.45	$12.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $13.75 / $15.63	Professional		$12.45	$13.75	$15.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $19.38	Facility		$9.63	$9.63	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.42 / $21.56	Professional		$17.25	$17.42	$21.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $18.82 / $80.00	Facility		$12.03	$18.82	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $10.56 / $17.73	Professional		$6.37	$10.56	$17.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $19.38 / $25.64	Facility		$16.12	$19.38	$25.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $19.66 / $37.04	Professional		$15.32	$19.66	$37.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $15.63 / $18.57	Professional		$13.34	$15.63	$18.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $10.02 / $19.63	Professional		$5.22	$10.02	$19.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Professional		$17.27	$17.27	$17.27