Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.80 / $178.80 / $178.80	Facility		$178.80	$178.80	$178.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $178.80 / $178.80	Professional		$148.40	$178.80	$178.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $156.44 / $156.44	Facility		$156.44	$156.44	$156.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $156.44 / $195.56	Professional		$156.44	$156.44	$195.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.55 / $271.95 / $440.92	Facility		$204.55	$271.95	$440.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.40 / $119.40 / $119.40	Professional		$119.40	$119.40	$119.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $149.00 / $149.00	Facility		$149.00	$149.00	$149.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $149.00 / $149.00	Professional		$149.00	$149.00	$149.00