Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $10.39	Facility		$10.39	$10.39	$10.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.57	Professional		$10.39	$10.39	$12.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.72 / $13.27	Professional		$10.61	$10.72	$13.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $17.55 / $20.78	Facility		$10.39	$17.55	$20.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.57 / $796.88	Professional		$10.39	$11.57	$796.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $14.77 / $18.20	Facility		$7.00	$14.77	$18.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $13.19 / $15.61	Professional		$7.75	$13.19	$15.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.37 / $11.37	Professional		$11.37	$11.37	$11.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $11.57	Professional		$10.39	$10.39	$11.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $11.37	Facility		$11.37	$11.37	$11.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.37 / $11.37	Professional		$11.37	$11.37	$11.37