Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $239.88	Facility		$194.98	$194.98	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $251.19	Professional		$141.25	$162.18	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $501.19	Professional		$239.88	$398.11	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $234.42 / $501.19	Facility		$194.98	$234.42	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $251.19	Professional		$93.33	$93.33	$251.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $575.44	Professional		$281.84	$426.58	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $269.15	Professional		$87.10	$125.89	$269.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93