Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Facility		$4.72	$4.72	$4.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $6.00 / $7.52	Professional		$4.72	$6.00	$7.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $9.78 / $9.78	Facility		$9.78	$9.78	$9.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $9.21 / $80.00	Facility		$4.80	$9.21	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.50 / $12.38	Professional		$3.01	$5.50	$12.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $10.21 / $15.74	Facility		$9.03	$10.21	$15.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.15 / $14.36	Professional		$7.59	$11.15	$14.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $12.09 / $13.79	Professional		$7.53	$12.09	$13.79
United Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.50 / $12.38	Professional		$3.01	$5.50	$12.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01