Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $801.00	Professional		$10.58	$20.00	$801.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.14 / $323.14 / $323.14	Facility		$323.14	$323.14	$323.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $323.14 / $403.92	Professional		$206.48	$323.14	$403.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $42.11 / $65.69	Facility		$15.13	$42.11	$65.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $480.40 / $480.40	Professional		$480.40	$480.40	$480.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $365.60 / $365.60 / $365.60	Professional		$365.60	$365.60	$365.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00