Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.42 / $307.42 / $307.42	Facility		$307.42	$307.42	$307.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $276.00 / $534.00	Professional		$203.99	$276.00	$534.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.47 / $401.47 / $401.47	Facility		$401.47	$401.47	$401.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.54 / $401.47 / $501.84	Professional		$256.54	$401.47	$501.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $439.61 / $560.55 / $1,313.40	Facility		$439.61	$560.55	$1,313.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $648.54 / $648.54 / $648.54	Professional		$648.54	$648.54	$648.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $540.00	Professional		$540.00	$540.00	$540.00