Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $1,479.11	Facility		$912.01	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,513.56	Professional		$870.96	$1,000.00	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $3,162.28	Professional		$1,513.56	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $6,165.95	Facility		$1,230.27	$1,479.11	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,548.82	Professional		$660.69	$660.69	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $3,548.13	Professional		$1,862.09	$3,019.95	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,737.80	Professional		$549.54	$776.25	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26