Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $575.44	Facility		$478.63	$478.63	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $891.25	Professional		$354.81	$478.63	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,230.27	Professional		$616.60	$977.24	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $1,412.54	Facility		$478.63	$575.44	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $2,570.40	Professional		$263.03	$302.00	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,412.54	Professional		$724.44	$1,174.90	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $588.84	Professional		$213.80	$302.00	$588.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86