Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.79 / $518.79 / $518.79	Facility		$518.79	$518.79	$518.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $440.98 / $518.79	Professional		$415.04	$440.98	$518.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $444.68 / $751.51 / $1,218.42	Facility		$444.68	$751.51	$1,218.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,754.69 / $1,754.69 / $1,754.69	Professional		$1,754.69	$1,754.69	$1,754.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $411.74 / $411.74 / $411.74	Facility		$411.74	$411.74	$411.74