Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $15.14	Facility		$2.00	$2.00	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.02	Professional		$2.00	$2.00	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.20 / $204.17	Facility		$12.59	$18.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $11.48	Professional		$9.33	$9.33	$11.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.17 / $15.14	Facility		$2.45	$4.17	$15.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $5,370.32	Professional		$2.45	$2.45	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $10.96	Professional		$2.95	$2.95	$10.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $169.82 / $204.17	Facility		$18.20	$169.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $29.51 / $141.25	Professional		$12.59	$29.51	$141.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51