Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Professional		$11.88	$11.88	$11.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $16.64 / $20.81	Facility		$13.33	$16.64	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.95 / $15.28	Professional		$12.23	$12.95	$15.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $19.77 / $20.36	Facility		$11.70	$19.77	$20.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $1,591.16	Professional		$11.70	$11.70	$1,591.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $15.69 / $18.11	Facility		$13.19	$15.69	$18.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $14.04 / $16.50	Professional		$10.64	$14.04	$16.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $13.07	Professional		$11.88	$11.88	$13.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Facility		$11.70	$11.70	$11.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Professional		$11.70	$11.70	$11.70