Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $12.02	Professional		$5.01	$6.03	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $16.98	Facility		$13.49	$13.49	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $13.18	Professional		$10.47	$10.47	$13.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.00 / $18.62	Facility		$6.61	$10.00	$18.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.57 / $147.91	Professional		$3.63	$4.57	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $10.00	Professional		$8.32	$10.00	$10.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $16.22	Professional		$8.32	$8.32	$16.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $12.02	Professional		$7.76	$9.12	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $9.33	Professional		$3.02	$3.89	$9.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13