Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $575.44	Facility		$467.74	$467.74	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $602.56	Professional		$338.84	$389.05	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,202.26	Professional		$588.84	$954.99	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $2,398.83	Facility		$478.63	$575.44	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $602.56	Professional		$257.04	$257.04	$602.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,380.38	Professional		$724.44	$1,174.90	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $660.69	Professional		$213.80	$302.00	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19