Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $870.96	Facility		$707.95	$707.95	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $912.01	Professional		$512.86	$588.84	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $1,819.70	Professional		$891.25	$1,445.44	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $3,630.78	Facility		$724.44	$851.14	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $912.01	Professional		$389.05	$389.05	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,089.30	Professional		$1,096.48	$1,778.28	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,000.00	Professional		$316.23	$457.09	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58