Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Facility		$1.75	$1.75	$1.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.77 / $2.20	Professional		$1.75	$1.77	$2.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.75 / $2.11	Professional		$1.69	$1.75	$2.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $2.37 / $118.64	Facility		$1.40	$2.37	$118.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $32.00 / $535.45	Professional		$1.40	$32.00	$535.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $2.57 / $5.31	Facility		$1.97	$2.57	$5.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $3.25 / $6.52	Professional		$1.97	$3.25	$6.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $18.69	Professional		$6.80	$6.80	$18.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $32.00	Professional		$1.75	$1.75	$32.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Facility		$1.53	$1.53	$1.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Professional		$1.53	$1.53	$1.53