Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Facility		$3.60	$3.60	$3.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.06 / $3.60	Professional		$2.88	$3.06	$3.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $3.06	Professional		$1.50	$1.88	$3.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $5.17 / $38.58	Facility		$1.46	$5.17	$38.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $484.17	Professional		$3.00	$3.00	$484.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $55.80 / $88.30	Facility		$2.00	$55.80	$88.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.83 / $65.42	Professional		$1.75	$2.83	$65.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $50.18 / $50.18	Professional		$50.18	$50.18	$50.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.30	Professional		$3.00	$3.00	$3.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Facility		$3.30	$3.30	$3.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30