Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $602.56	Facility		$371.54	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $602.56	Professional		$354.81	$398.11	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,258.93	Professional		$616.60	$1,000.00	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $2,511.89	Facility		$501.19	$602.56	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $630.96	Professional		$269.15	$269.15	$630.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,445.44	Professional		$758.58	$1,230.27	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $691.83	Professional		$218.78	$316.23	$691.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81