Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Facility		$6.87	$6.87	$6.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.87 / $6.87	Professional		$4.90	$6.87	$6.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $14.36 / $14.36	Facility		$14.36	$14.36	$14.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $13.71 / $17.14	Professional		$8.67	$13.71	$17.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $11.73 / $100.00	Facility		$7.01	$11.73	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $6.58 / $15.05	Professional		$4.38	$6.58	$15.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $14.88 / $22.92	Facility		$9.43	$14.88	$22.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $16.03 / $21.05	Professional		$9.43	$16.03	$21.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $17.07 / $20.07	Professional		$11.94	$17.07	$20.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $5.12 / $10.21	Professional		$3.07	$5.12	$10.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.31 / $7.31	Professional		$7.31	$7.31	$7.31