Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $657.14 / $657.14	Facility		$657.14	$657.14	$657.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.51 / $657.14 / $1,440.00	Professional		$634.51	$657.14	$1,440.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.02 / $658.02 / $658.02	Facility		$658.02	$658.02	$658.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.47 / $658.02 / $822.53	Professional		$420.47	$658.02	$822.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $845.00 / $1,890.50	Facility		$715.00	$845.00	$1,890.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $684.57 / $684.57 / $684.57	Professional		$684.57	$684.57	$684.57
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 $570.00 / $570.00 / $570.00	Professional		$570.00	$570.00	$570.00