Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $6.88 / $6.88	Facility		$6.88	$6.88	$6.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $7.38	Professional		$6.88	$6.88	$7.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $20.00	Facility		$16.00	$16.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $15.47	Professional		$12.38	$12.38	$15.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $11.63 / $14.76	Facility		$8.40	$11.63	$14.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $8.60 / $57.96	Professional		$4.30	$8.60	$57.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.30 / $15.54	Facility		$10.96	$12.30	$15.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.87 / $16.79	Professional		$9.86	$11.87	$16.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $11.46 / $14.28	Professional		$9.00	$11.46	$14.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.38 / $8.97	Professional		$3.58	$5.38	$8.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71