Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $330.00 / $330.00	Facility		$35.00	$330.00	$330.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $330.00	Professional		$35.00	$50.00	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $24.75 / $255.00	Professional		$20.88	$24.75	$255.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,512.00 / $4,512.00 / $4,512.00	Professional		$4,512.00	$4,512.00	$4,512.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $409.54 / $409.54 / $409.54	Professional		$409.54	$409.54	$409.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $90.24 / $90.24	Professional		$90.24	$90.24	$90.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $370.00 / $370.00	Professional		$320.00	$370.00	$370.00