Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,023.29	Facility		$851.14	$851.14	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $851.14 / $3,311.31	Professional		$436.52	$851.14	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $2,137.96	Professional		$1,023.29	$1,737.80	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $4,265.80	Facility		$741.31	$1,023.29	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $4,466.84	Professional		$457.09	$537.03	$4,466.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $2,454.71	Professional		$1,288.25	$2,089.30	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,174.90	Professional		$380.19	$537.03	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25