Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $870.96	Facility		$707.95	$707.95	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $2,238.72	Professional		$446.68	$707.95	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $1,819.70	Professional		$912.01	$1,445.44	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $1,380.38	Facility		$724.44	$851.14	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $3,801.89	Professional		$309.03	$457.09	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,089.30	Professional		$1,096.48	$1,778.28	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $870.96	Professional		$309.03	$457.09	$870.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58