Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,548.13	Facility		$2,951.21	$2,951.21	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,951.21 / $11,748.98	Professional		$323.59	$2,951.21	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $7,413.10	Professional		$4,466.84	$6,025.60	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,548.13 / $5,754.40	Facility		$2,951.21	$3,548.13	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $15,488.17	Professional		$1,584.89	$1,862.09	$15,488.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $7,244.36 / $8,511.38	Professional		$4,466.84	$7,244.36	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $3,548.13	Professional		$1,318.26	$1,862.09	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30