Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,365.16	Facility		$3,630.78	$3,630.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $6,456.54	Professional		$2,691.53	$3,090.30	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $7,413.10 / $9,332.54	Professional		$4,677.35	$7,413.10	$9,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $7,079.46	Facility		$3,630.78	$4,365.16	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $19,498.45	Professional		$1,995.26	$2,344.23	$19,498.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $9,120.11 / $10,715.19	Professional		$5,495.41	$9,120.11	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,466.84	Professional		$1,621.81	$2,344.23	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45