Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $676.08	Facility		$562.34	$562.34	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $724.44	Professional		$398.11	$457.09	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,445.44	Professional		$831.76	$1,148.15	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $1,096.48	Facility		$562.34	$575.44	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $3,019.95	Professional		$302.00	$354.81	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $1,659.59	Professional		$851.14	$1,380.38	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $691.83	Professional		$251.19	$354.81	$691.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56