Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Facility		$87.10	$87.10	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $112.20	Professional		$63.10	$87.10	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $263.03	Professional		$169.82	$208.93	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $173.78	Facility		$89.13	$107.15	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $138.04	Professional		$46.77	$46.77	$138.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $257.04	Professional		$138.04	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $117.49	Professional		$39.81	$56.23	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50