Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,715.35	Facility		$3,019.95	$3,019.95	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $10,471.29	Professional		$2,137.96	$3,019.95	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,165.95 / $7,762.47	Professional		$4,677.35	$6,165.95	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,888.44	Facility		$3,090.30	$3,630.78	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $16,218.10	Professional		$1,445.44	$1,949.84	$16,218.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $7,585.78 / $8,912.51	Professional		$4,677.35	$7,585.78	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,715.35	Professional		$1,348.96	$1,949.84	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94