Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Facility		$75.86	$75.86	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $95.50	Professional		$52.48	$61.66	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $190.55	Professional		$91.20	$154.88	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $302.00	Facility		$75.86	$125.89	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $112.20	Professional		$47.86	$52.48	$112.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $218.78	Professional		$114.82	$194.98	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $138.04	Professional		$33.88	$56.23	$138.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28