Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,877.00 / $4,877.00 / $4,877.00	Facility		$4,877.00	$4,877.00	$4,877.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.75 / $751.75 / $751.75	Facility		$751.75	$751.75	$751.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $1,149.00	Facility		$500.00	$500.00	$1,149.00
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 / $500.00 / $1,149.00	Facility		$500.00	$500.00	$1,149.00
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