Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $36.45	Facility		$5.05	$5.05	$36.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.26 / $59.43	Professional		$5.05	$5.26	$59.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $12.14	Professional		$9.71	$9.71	$12.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $14.42 / $210.83	Facility		$7.44	$14.42	$210.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $57.79 / $57.79	Professional		$5.05	$57.79	$57.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.24 / $11.43 / $14.44	Facility		$6.24	$11.43	$14.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $12.66 / $26.88	Professional		$6.39	$12.66	$26.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $5.53 / $22.68	Professional		$5.53	$5.53	$22.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $57.79	Professional		$5.05	$5.05	$57.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $5.20 / $5.20	Facility		$5.20	$5.20	$5.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.20 / $5.20	Professional		$5.20	$5.20	$5.20