Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.19 / $26.61	Professional		$19.00	$19.19	$26.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.77 / $22.77	Facility		$22.77	$22.77	$22.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.58 / $36.61	Professional		$29.29	$29.58	$36.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $37.15 / $60.25	Facility		$21.99	$37.15	$60.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $24.48 / $126.91	Professional		$21.99	$24.48	$126.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $39.54 / $97.24	Facility		$34.28	$39.54	$97.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $34.49 / $97.24	Professional		$26.38	$34.49	$97.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $15.47 / $15.47	Professional		$15.47	$15.47	$15.47
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $22.61	Professional		$19.00	$19.00	$22.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Facility		$21.99	$21.99	$21.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Professional		$21.99	$21.99	$21.99