Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $18.62	Facility		$4.79	$4.79	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.83 / $5.80	Professional		$4.79	$4.83	$5.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $6.49 / $8.11	Professional		$6.49	$6.49	$8.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $8.10 / $72.73	Facility		$6.85	$8.10	$72.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.36	Professional		$4.79	$4.79	$6.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $7.88 / $43.67	Facility		$5.74	$7.88	$43.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.24 / $43.67	Professional		$7.47	$9.24	$43.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.57	Professional		$4.79	$4.79	$6.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79