Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $10.73	Facility		$10.73	$10.73	$10.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $11.51	Professional		$10.73	$10.73	$11.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $31.25	Facility		$25.00	$25.00	$31.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $24.38	Professional		$19.50	$19.50	$24.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.45 / $31.54	Facility		$14.13	$19.45	$31.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $13.41 / $127.21	Professional		$6.71	$13.41	$127.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $19.17 / $24.23	Facility		$18.46	$19.17	$24.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $18.51 / $34.19	Professional		$15.39	$18.51	$34.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $16.82 / $22.28	Professional		$14.04	$16.82	$22.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $8.39 / $13.99	Professional		$5.59	$8.39	$13.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Professional		$15.15	$15.15	$15.15