Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Facility		$28.69	$28.69	$28.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $28.69 / $28.69	Professional		$24.39	$28.69	$28.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $28.75	Facility		$23.00	$23.00	$28.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $21.56 / $21.91	Professional		$17.25	$21.56	$21.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $39.77 / $48.49	Facility		$16.91	$39.77	$48.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $109.02	Professional		$28.69	$28.69	$109.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $26.08 / $28.54	Facility		$23.25	$26.08	$28.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $26.08 / $28.54	Professional		$10.46	$26.08	$28.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $24.38 / $24.38	Professional		$24.38	$24.38	$24.38
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $31.56	Professional		$28.69	$28.69	$31.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Facility		$28.68	$28.68	$28.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68