Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $724.44	Facility		$602.56	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $2,398.83	Professional		$446.68	$602.56	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,548.82	Professional		$776.25	$1,230.27	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $1,174.90	Facility		$602.56	$724.44	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $3,162.28	Professional		$323.59	$389.05	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $1,778.28	Professional		$912.01	$1,513.56	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $741.31	Professional		$269.15	$389.05	$741.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65