Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $17.10 / $21.38	Facility		$13.33	$17.10	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $12.92 / $15.98	Professional		$12.79	$12.92	$15.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $20.92 / $21.55	Facility		$2.50	$20.92	$21.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $6,184.50	Professional		$12.38	$12.38	$6,184.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $16.23 / $18.72	Facility		$11.45	$16.23	$18.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.86 / $20.35	Professional		$9.90	$14.86	$20.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $13.66 / $13.66	Professional		$13.66	$13.66	$13.66
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $14.35	Professional		$12.49	$12.49	$14.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $12.38 / $12.38	Facility		$12.38	$12.38	$12.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $12.38	Professional		$12.38	$12.38	$12.38