Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,071.52	Facility		$891.25	$891.25	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,096.48	Professional		$630.96	$724.44	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,290.87	Professional		$1,348.96	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $912.01 / $1,737.80	Facility		$891.25	$912.01	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $4,786.30	Professional		$489.78	$575.44	$4,786.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $2,630.27	Professional		$1,348.96	$2,238.72	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,096.48	Professional		$398.11	$575.44	$1,096.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99