Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Facility		$27.85	$27.85	$27.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.12 / $35.09	Professional		$27.85	$28.12	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $28.39 / $28.39	Facility		$28.39	$28.39	$28.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $27.85 / $31.78	Professional		$25.43	$27.85	$31.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $44.79 / $86.02	Facility		$37.90	$44.79	$86.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $27.85 / $29.50	Professional		$22.53	$27.85	$29.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $35.39 / $62.48	Facility		$29.93	$35.39	$62.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $31.80 / $175.71	Professional		$26.89	$31.80	$175.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $25.72 / $25.72	Professional		$25.72	$25.72	$25.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $27.85 / $31.00	Professional		$23.67	$27.85	$31.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $26.50	Facility		$26.50	$26.50	$26.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $26.50	Professional		$26.50	$26.50	$26.50