Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,348.96	Facility		$524.81	$524.81	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $794.33	Professional		$467.74	$524.81	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $229.09	Professional		$109.65	$181.97	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,348.96 / $2,187.76	Facility		$741.31	$1,348.96	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36