Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $616.60 / $1,905.46	Facility		$562.34	$616.60	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $977.24	Professional		$416.87	$489.78	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,445.44	Professional		$691.83	$1,148.15	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $676.08 / $3,162.28	Facility		$0.02	$676.08	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $3,019.95	Professional		$251.19	$309.03	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,380.38 / $1,659.59	Professional		$724.44	$1,380.38	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $794.33	Professional		$251.19	$354.81	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56