Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,884.03	Facility		$2,344.23	$2,344.23	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $11,481.54	Professional		$1,737.80	$2,344.23	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $6,025.60	Professional		$3,630.78	$4,786.30	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,570.88	Facility		$2,344.23	$2,818.38	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $12,589.25	Professional		$1,513.56	$1,584.89	$12,589.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,888.44 / $6,918.31	Professional		$3,630.78	$5,888.44	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $3,090.30	Professional		$1,047.13	$1,584.89	$3,090.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89