Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $28.84	Facility		$22.91	$22.91	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $28.18	Professional		$15.85	$19.05	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $60.26	Professional		$30.20	$47.86	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $41.69	Facility		$16.98	$28.18	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $125.89	Professional		$14.13	$15.14	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $69.18	Professional		$30.20	$58.88	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $41.69	Professional		$10.47	$15.14	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12