Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $41.83 / $47.06	Professional		$1.93	$41.83	$47.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $1.88	Professional		$1.50	$1.88	$1.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $51.48 / $110.97	Facility		$3.11	$51.48	$110.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $37.50 / $41.25	Professional		$2.59	$37.50	$41.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $3.33 / $4.92	Facility		$3.11	$3.33	$4.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $4.36 / $7.28	Professional		$1.40	$4.36	$7.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $41.25	Professional		$37.50	$37.50	$41.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $38.86 / $38.86	Facility		$38.86	$38.86	$38.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $38.86	Professional		$38.86	$38.86	$38.86