Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $870.96 / $870.96	Facility		$537.03	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $891.25	Professional		$512.86	$588.84	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $1,862.09	Professional		$891.25	$1,479.11	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $3,630.78	Facility		$724.44	$870.96	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $933.25	Professional		$398.11	$398.11	$933.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,137.96	Professional		$1,096.48	$1,819.70	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $1,023.29	Professional		$323.59	$467.74	$1,023.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25