Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Facility		$12.99	$12.99	$12.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $13.95 / $16.36	Professional		$12.99	$13.95	$16.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.05 / $16.30	Professional		$13.05	$13.05	$16.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $19.00 / $36.40	Facility		$15.31	$19.00	$36.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $13.29 / $14.62	Professional		$12.81	$13.29	$14.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $15.95 / $22.33	Facility		$15.31	$15.95	$22.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $15.37 / $31.19	Professional		$14.43	$15.37	$31.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.99 / $14.29	Professional		$12.76	$12.99	$14.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Facility		$13.29	$13.29	$13.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29