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 $3.00 / $5.00 / $32.93	Professional		$3.00	$5.00	$32.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $30.54	Professional		$24.43	$24.43	$30.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $6.22 / $10.33	Facility		$4.29	$6.22	$10.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $15.24 / $26.67	Professional		$11.04	$15.24	$26.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $24.04 / $27.87	Facility		$19.48	$24.04	$27.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $21.42 / $32.04	Professional		$11.08	$21.42	$32.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $20.43 / $23.29	Professional		$11.86	$20.43	$23.29
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $12.76 / $26.67	Professional		$11.04	$12.76	$26.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $17.70 / $17.70	Professional		$17.70	$17.70	$17.70