Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,288.25	Facility		$489.78	$489.78	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $1,380.38	Professional		$478.63	$489.78	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $380.19	Professional		$186.21	$302.00	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $2,041.74	Facility		$691.83	$1,071.52	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19