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 / $741.31 / $1,148.15	Professional		$630.96	$741.31	$1,148.15
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 $1,096.48 / $1,819.70 / $2,290.87	Professional		$1,096.48	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,148.15	Professional		$489.78	$489.78	$1,148.15
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 / $1,258.93	Professional		$398.11	$575.44	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99