Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $61.20 / $186.90	Professional		$6.29	$61.20	$186.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $17.70 / $21.21	Professional		$16.97	$17.70	$21.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $8.44 / $15.12	Facility		$6.22	$8.44	$15.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $15.24 / $26.67	Professional		$8.21	$15.24	$26.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $24.04 / $27.87	Facility		$15.47	$24.04	$27.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $24.04 / $32.04	Professional		$13.63	$24.04	$32.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $15.98 / $21.24	Professional		$12.54	$15.98	$21.24
United Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $15.24 / $26.67	Professional		$8.65	$15.24	$26.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Professional		$12.80	$12.80	$12.80