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 $7.08 / $10.00 / $12.02	Professional		$7.08	$10.00	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $15.85	Facility		$10.00	$10.00	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $22.91	Professional		$18.20	$18.20	$22.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $18.20 / $30.90	Facility		$11.48	$18.20	$30.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $83.18	Professional		$6.46	$9.12	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $18.20	Professional		$12.88	$18.20	$18.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $29.51	Professional		$12.88	$12.88	$29.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $21.88	Professional		$13.80	$16.60	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.32 / $15.85	Professional		$6.31	$8.32	$15.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59