Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $262.24	Facility		$5.97	$5.97	$262.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.97 / $5.97	Professional		$4.25	$5.97	$5.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Facility		$12.40	$12.40	$12.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $7.18 / $80.00	Facility		$5.67	$7.18	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $5.72 / $7.88	Professional		$2.68	$5.72	$7.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $11.65 / $12.45	Facility		$3.48	$11.65	$12.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $8.34 / $16.57	Professional		$3.48	$8.34	$16.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $14.83 / $17.44	Professional		$6.35	$14.83	$17.44
United Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $5.72 / $7.88	Professional		$2.67	$5.72	$7.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.35 / $6.35	Professional		$6.35	$6.35	$6.35