Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Facility		$162.18	$162.18	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $208.93	Professional		$114.82	$134.90	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $416.87	Professional		$199.53	$331.13	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $812.83	Facility		$162.18	$165.96	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $208.93	Professional		$89.13	$89.13	$208.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $478.63	Professional		$245.47	$407.38	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $229.09	Professional		$72.44	$104.71	$229.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78