Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Facility		$9.69	$9.69	$9.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $18.69 / $56.07	Professional		$10.39	$18.69	$56.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $22.50 / $28.13	Facility		$22.50	$22.50	$28.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $17.63 / $22.03	Professional		$17.63	$17.63	$22.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $17.98 / $33.54	Facility		$15.20	$17.98	$33.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $12.10 / $293.29	Professional		$6.05	$12.10	$293.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $17.30 / $21.87	Facility		$16.67	$17.30	$21.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $16.94 / $46.55	Professional		$13.88	$16.94	$46.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.20 / $20.12	Professional		$12.67	$15.20	$20.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $12.62 / $17.48	Professional		$5.37	$12.62	$17.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $13.68 / $13.68	Professional		$13.68	$13.68	$13.68