Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.95 / $4.95	Professional		$4.21	$4.95	$4.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $6.38 / $12.22	Facility		$4.95	$6.38	$12.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.54	Professional		$4.13	$4.13	$4.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.54	Professional		$4.13	$4.13	$4.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Facility		$4.13	$4.13	$4.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13