Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $575.44	Facility		$478.63	$478.63	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $588.84	Professional		$338.84	$398.11	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,230.27	Professional		$588.84	$977.24	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $2,398.83	Facility		$478.63	$575.44	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $616.60	Professional		$257.04	$257.04	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,412.54	Professional		$724.44	$1,202.26	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $676.08	Professional		$213.80	$309.03	$676.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86