Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $158.49 / $389.05	Facility		$70.79	$158.49	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $199.53	Professional		$50.12	$56.23	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $177.83	Professional		$85.11	$144.54	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $100.00 / $281.84	Facility		$72.44	$100.00	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $102.33	Professional		$44.67	$52.48	$102.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $204.17	Professional		$107.15	$173.78	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $102.33	Professional		$31.62	$52.48	$102.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13