Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $487.58 / $487.58	Facility		$487.58	$487.58	$487.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $586.23 / $922.50	Professional		$310.80	$586.23	$922.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.54 / $288.54 / $288.54	Facility		$288.54	$288.54	$288.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $288.54 / $360.67	Professional		$182.55	$288.54	$360.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $824.01 / $891.99 / $2,055.00	Facility		$824.01	$891.99	$2,055.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $456.48 / $456.48 / $456.48	Facility		$456.48	$456.48	$456.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $300.25 / $300.25	Professional		$300.25	$300.25	$300.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00