Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Facility		$6.05	$6.05	$6.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.72 / $15.49	Professional		$6.05	$6.72	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $12.83 / $16.03	Professional		$12.83	$12.83	$16.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $21.63 / $35.07	Facility		$16.59	$21.63	$35.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.80 / $12.80	Professional		$10.68	$12.80	$12.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $15.08 / $18.93	Facility		$12.24	$15.08	$18.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $15.08 / $23.67	Professional		$8.65	$15.08	$23.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.66	Professional		$6.05	$6.05	$6.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Facility		$12.80	$12.80	$12.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $12.80	Professional		$12.80	$12.80	$12.80