Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Facility		$12.28	$12.28	$12.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $14.51	Professional		$12.28	$12.28	$14.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $14.48 / $18.09	Professional		$12.28	$14.48	$18.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $20.26 / $31.20	Facility		$11.99	$20.26	$31.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.35 / $88.81	Professional		$11.99	$13.35	$88.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $22.26 / $27.50	Facility		$17.04	$22.26	$27.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $17.98 / $31.97	Professional		$17.04	$17.98	$31.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $23.87 / $23.87	Professional		$23.87	$23.87	$23.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $14.61	Professional		$12.28	$12.28	$14.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Facility		$13.12	$13.12	$13.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Professional		$13.12	$13.12	$13.12