Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $851.14	Facility		$707.95	$707.95	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $891.25	Professional		$501.19	$588.84	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $1,778.28	Professional		$870.96	$1,445.44	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $3,548.13	Facility		$707.95	$724.44	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $891.25	Professional		$380.19	$380.19	$891.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,041.74	Professional		$1,071.52	$1,737.80	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,000.00	Professional		$316.23	$446.68	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58