Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Facility		$794.33	$794.33	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,000.00	Professional		$562.34	$660.69	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $1,995.26	Professional		$977.24	$1,621.81	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $3,981.07	Facility		$794.33	$954.99	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,000.00	Professional		$426.58	$426.58	$1,000.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $2,290.87	Professional		$1,202.26	$1,949.84	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,122.02	Professional		$354.81	$501.19	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76