Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.00 / $3,096.00 / $3,096.00	Facility		$1,580.00	$3,096.00	$3,096.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.00 / $1,409.00 / $1,409.00	Facility		$1,409.00	$1,409.00	$1,409.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $850.00 / $1,760.00	Facility		$500.00	$850.00	$1,760.00
Sanford Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,551.45	Facility		$100.00	$100.00	$1,551.45
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $850.00 / $1,700.00	Facility		$500.00	$850.00	$1,700.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $1,014.00 / $1,525.00	Facility		$541.00	$1,014.00	$1,525.00