Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $4.55 / $4.55	Professional		$3.25	$4.55	$4.55
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 $4.65 / $5.91 / $100.00	Facility		$4.65	$5.91	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $4.37 / $7.59	Professional		$2.58	$4.37	$7.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $8.89 / $13.69	Facility		$6.26	$8.89	$13.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $8.19 / $12.66	Professional		$5.58	$8.19	$12.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $11.33 / $13.32	Professional		$5.22	$11.33	$13.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.91 / $5.82	Professional		$2.04	$2.91	$5.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $4.84	Professional		$4.84	$4.84	$4.84