Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $128.82	Facility		$104.71	$104.71	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $134.90	Professional		$75.86	$87.10	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $269.15	Professional		$128.82	$213.80	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $537.03	Facility		$104.71	$125.89	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $134.90	Professional		$57.54	$57.54	$134.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $309.03	Professional		$158.49	$263.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $147.91	Professional		$46.77	$67.61	$147.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20