Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $12.85	Professional		$10.62	$10.62	$12.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.50 / $13.50	Professional		$10.80	$13.50	$13.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $17.95 / $29.10	Facility		$13.65	$17.95	$29.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $11.68	Professional		$10.62	$10.62	$11.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $12.74 / $14.89	Facility		$12.74	$12.74	$14.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.67 / $15.92	Professional		$12.08	$12.67	$15.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $11.68	Professional		$10.62	$10.62	$11.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62