Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.38 / $499.38 / $499.38	Facility		$499.38	$499.38	$499.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $499.38 / $499.38	Professional		$424.47	$499.38	$499.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.38 / $692.04 / $843.95	Facility		$499.38	$692.04	$843.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $1,897.64	Professional		$499.42	$499.42	$1,897.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $549.36	Professional		$499.42	$499.42	$549.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $449.44 / $449.44 / $449.44	Facility		$449.44	$449.44	$449.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $449.44 / $449.44 / $449.44	Professional		$449.44	$449.44	$449.44