Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $195.18 / $195.18	Facility		$195.18	$195.18	$195.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $195.18	Professional		$110.00	$110.00	$195.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.01 / $188.01 / $188.01	Facility		$188.01	$188.01	$188.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $188.01 / $235.01	Professional		$120.13	$188.01	$235.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.28 / $263.54 / $473.62	Facility		$200.28	$263.54	$473.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $270.23 / $270.23 / $270.23	Professional		$270.23	$270.23	$270.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Professional		$480.00	$480.00	$480.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00