Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $128.82	Facility		$79.43	$79.43	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $102.33	Professional		$60.26	$79.43	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $275.42	Professional		$131.83	$218.78	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $128.82 / $549.54	Facility		$81.28	$128.82	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $138.04	Professional		$48.98	$48.98	$138.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $316.23	Professional		$123.03	$269.15	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $144.54	Professional		$47.86	$51.29	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82