Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Facility		$676.08	$676.08	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $851.14	Professional		$478.63	$549.54	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $1,698.24	Professional		$831.76	$1,380.38	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $3,388.44	Facility		$676.08	$691.83	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $851.14	Professional		$363.08	$363.08	$851.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $1,949.84	Professional		$1,023.29	$1,659.59	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $933.25	Professional		$302.00	$426.58	$933.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95