Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $512.86	Facility		$416.87	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $512.86	Professional		$416.87	$426.58	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $891.25	Facility		$416.87	$660.69	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52