Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Facility		$12.00	$12.00	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.00 / $12.00	Professional		$10.19	$12.00	$12.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $35.63	Professional		$28.50	$28.50	$35.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $19.39 / $60.76	Facility		$12.75	$19.39	$60.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $20.38	Professional		$10.63	$10.63	$20.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $26.23 / $38.68	Facility		$24.46	$26.23	$38.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $29.93 / $57.37	Professional		$24.46	$29.93	$57.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $28.93 / $28.93	Professional		$28.93	$28.93	$28.93
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $11.00	Professional		$10.00	$10.00	$11.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Professional		$11.88	$11.88	$11.88