Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Facility		$467.74	$467.74	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,698.24	Professional		$346.74	$549.54	$1,698.24
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 $724.44 / $954.99 / $1,202.26	Professional		$724.44	$954.99	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $3,981.07	Facility		$467.74	$562.34	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $2,511.89	Professional		$257.04	$302.00	$2,511.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $1,380.38	Professional		$707.95	$1,174.90	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $575.44	Professional		$208.93	$302.00	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19