Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $401.62 / $401.62	Facility		$401.62	$401.62	$401.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $401.62 / $765.00	Professional		$289.39	$401.62	$765.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.60 / $442.60 / $442.60	Facility		$442.60	$442.60	$442.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $442.60 / $553.25	Professional		$282.81	$442.60	$553.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.32 / $772.20 / $1,711.40	Facility		$574.32	$772.20	$1,711.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $459.97 / $459.97 / $459.97	Professional		$459.97	$459.97	$459.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $383.00 / $383.00	Professional		$383.00	$383.00	$383.00