Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Facility		$6.86	$6.86	$6.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.86 / $6.86	Professional		$4.88	$6.86	$6.86
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 $6.99 / $10.91 / $100.00	Facility		$6.99	$10.91	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $6.57 / $12.83	Professional		$4.36	$6.57	$12.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $14.87 / $22.89	Facility		$3.11	$14.87	$22.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $12.25 / $21.05	Professional		$3.11	$12.25	$21.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $17.05 / $20.05	Professional		$10.26	$17.05	$20.05
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $5.11 / $8.76	Professional		$3.07	$5.11	$8.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $7.30 / $7.30	Professional		$7.30	$7.30	$7.30