Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Facility		$512.86	$512.86	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $645.65	Professional		$363.08	$416.87	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,288.25	Professional		$630.96	$1,047.13	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $2,570.40	Facility		$512.86	$616.60	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $645.65	Professional		$275.42	$275.42	$645.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $1,479.11	Professional		$776.25	$1,258.93	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $707.95	Professional		$229.09	$323.59	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03