Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.15	Facility		$5.15	$5.15	$5.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.15 / $5.15	Professional		$4.38	$5.15	$5.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Facility		$40.00	$40.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $31.13 / $38.90	Professional		$31.13	$31.13	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $7.84 / $28.57	Facility		$5.89	$7.84	$28.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $23.46 / $133.41	Professional		$11.73	$23.46	$133.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $33.40 / $38.56	Facility		$28.27	$33.40	$38.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $29.39 / $37.22	Professional		$28.27	$29.39	$37.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $30.14 / $35.46	Professional		$26.16	$30.14	$35.46
United Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $23.46 / $23.46	Professional		$8.90	$23.46	$23.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $23.13 / $23.13	Professional		$23.13	$23.13	$23.13