Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $371.54	Facility		$302.00	$302.00	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $389.05	Professional		$213.80	$251.19	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $776.25	Professional		$371.54	$616.60	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $1,548.82	Facility		$302.00	$363.08	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $389.05	Professional		$181.97	$181.97	$389.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $891.25	Professional		$457.09	$758.58	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $426.58	Professional		$134.90	$194.98	$426.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59