Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $281.84	Facility		$234.42	$234.42	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $295.12	Professional		$165.96	$190.55	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $588.84	Professional		$288.40	$478.63	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $281.84 / $1,174.90	Facility		$234.42	$281.84	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $295.12	Professional		$125.89	$125.89	$295.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $676.08	Professional		$354.81	$575.44	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $323.59	Professional		$104.71	$147.91	$323.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47