Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.00 / $12.88	Professional		$3.98	$10.00	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Facility		$24.55	$24.55	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Professional		$19.05	$19.05	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $21.88	Facility		$10.96	$16.22	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $109.65	Professional		$6.46	$8.13	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $18.20	Professional		$15.14	$18.20	$18.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $28.84	Professional		$15.14	$15.14	$28.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $21.38	Professional		$15.49	$16.22	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.92 / $16.60	Professional		$5.50	$6.92	$16.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79