Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $9.25 / $9.25	Facility		$9.25	$9.25	$9.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $9.91 / $11.09	Professional		$9.25	$9.91	$11.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $21.50 / $26.88	Facility		$21.50	$21.50	$26.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $21.09	Professional		$16.88	$16.88	$21.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.75 / $27.15	Facility		$14.13	$16.75	$27.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $11.55 / $127.21	Professional		$5.78	$11.55	$127.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $16.52 / $20.88	Facility		$15.90	$16.52	$20.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.17 / $31.76	Professional		$13.27	$16.17	$31.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $14.50 / $19.19	Professional		$12.10	$14.50	$19.19
United Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $11.55 / $16.68	Professional		$4.82	$11.55	$16.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Professional		$13.05	$13.05	$13.05