Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Facility		$26.94	$26.94	$26.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $29.93	Professional		$26.94	$26.94	$29.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $47.10 / $58.88	Facility		$22.70	$47.10	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $27.90 / $30.05	Professional		$23.66	$27.90	$30.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $44.09 / $71.48	Facility		$26.09	$44.09	$71.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $26.09 / $133.71	Professional		$26.09	$26.09	$133.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $45.42 / $65.08	Facility		$27.90	$45.42	$65.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $31.30 / $65.08	Professional		$17.19	$31.30	$65.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $29.49 / $29.49	Professional		$29.49	$29.49	$29.49
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $39.97	Professional		$26.94	$26.94	$39.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Facility		$26.09	$26.09	$26.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Professional		$26.09	$26.09	$26.09