Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $23.02	Professional		$21.48	$21.48	$23.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $62.50	Facility		$50.00	$50.00	$62.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $48.75	Professional		$39.00	$39.00	$48.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $38.90 / $63.07	Facility		$28.76	$38.90	$63.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $26.83 / $256.19	Professional		$13.42	$26.83	$256.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $38.36 / $48.48	Facility		$36.95	$38.36	$48.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $37.04 / $67.68	Professional		$30.80	$37.04	$67.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $33.68 / $44.58	Professional		$28.09	$33.68	$44.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $16.80 / $28.00	Professional		$11.18	$16.80	$28.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $30.31 / $30.31	Professional		$30.31	$30.31	$30.31