Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $15.56 / $18.36	Facility		$12.45	$15.56	$18.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.36 / $11.58	Professional		$9.26	$9.36	$11.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $4.19 / $19.76	Facility		$2.48	$4.19	$19.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $5,398.28	Professional		$2.48	$2.48	$5,398.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $13.28 / $15.32	Facility		$2.98	$13.28	$15.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $10.91 / $12.77	Professional		$2.98	$10.91	$12.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.74	Professional		$2.49	$2.49	$2.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Facility		$2.48	$2.48	$2.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Professional		$2.48	$2.48	$2.48