Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $4.65 / $4.65	Facility		$4.65	$4.65	$4.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $4.65 / $4.65	Professional		$3.32	$4.65	$4.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.36 / $6.56	Professional		$5.25	$5.36	$6.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $90.00 / $329.46	Facility		$4.75	$90.00	$329.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.46 / $9.17	Professional		$2.97	$4.46	$9.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $7.02 / $9.13	Facility		$5.94	$7.02	$9.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $8.14 / $12.92	Professional		$5.95	$8.14	$12.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $11.93 / $13.60	Professional		$4.95	$11.93	$13.60
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $3.12 / $5.94	Professional		$2.08	$3.12	$5.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Professional		$4.95	$4.95	$4.95