Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Facility		$15.60	$15.60	$15.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $15.60 / $15.60	Professional		$13.26	$15.60	$15.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $215.43	Professional		$13.26	$13.26	$215.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $21.89 / $28.08	Facility		$15.60	$21.89	$28.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $1,391.41	Professional		$13.00	$13.00	$1,391.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $215.43 / $340.91 / $659.61	Facility		$215.43	$340.91	$659.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $215.43 / $659.61	Professional		$15.61	$215.43	$659.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $14.30	Professional		$13.00	$13.00	$14.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Facility		$13.00	$13.00	$13.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00