Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Facility		$225.00	$225.00	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $362.81 / $743.15	Professional		$225.00	$362.81	$743.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.16 / $165.16 / $165.16	Facility		$165.16	$165.16	$165.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $165.16 / $206.45	Professional		$105.53	$165.16	$206.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.75 / $429.00 / $895.50	Facility		$321.75	$429.00	$895.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $243.80 / $243.80	Professional		$243.80	$243.80	$243.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $203.00	Professional		$203.00	$203.00	$203.00