Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.54 / $519.54 / $519.54	Facility		$519.54	$519.54	$519.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.67 / $471.70 / $800.00	Professional		$450.67	$471.70	$800.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $172.99 / $172.99	Facility		$172.99	$172.99	$172.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $172.99 / $216.24	Professional		$110.54	$172.99	$216.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.96 / $1,144.00 / $2,189.00	Facility		$742.96	$1,144.00	$2,189.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $180.15 / $180.15	Professional		$180.15	$180.15	$180.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00