Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $14.87 / $14.87	Facility		$14.87	$14.87	$14.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.94 / $52.20	Professional		$12.88	$15.94	$52.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $43.75	Facility		$35.00	$35.00	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $33.75	Professional		$27.00	$27.00	$33.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $26.94 / $43.68	Facility		$22.88	$26.94	$43.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $18.57 / $272.08	Professional		$9.28	$18.57	$272.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $26.56 / $33.54	Facility		$25.57	$26.56	$33.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $26.01 / $51.03	Professional		$21.32	$26.01	$51.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $23.32 / $30.87	Professional		$19.45	$23.32	$30.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.82 / $23.32	Professional		$7.74	$12.82	$23.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99