Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $26.85 / $33.56	Facility		$26.85	$26.85	$33.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $22.12 / $27.38	Professional		$21.90	$22.12	$27.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $35.24 / $37.35	Facility		$20.85	$35.24	$37.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $20.85 / $90.79	Professional		$20.85	$20.85	$90.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $26.72 / $30.83	Facility		$25.02	$26.72	$30.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $25.02 / $25.79	Professional		$23.67	$25.02	$25.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $21.85 / $21.85	Professional		$21.85	$21.85	$21.85
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $21.97	Professional		$19.97	$19.97	$21.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $20.85 / $20.85	Facility		$20.85	$20.85	$20.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $20.85 / $20.85	Professional		$20.85	$20.85	$20.85