Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $169.82	Facility		$138.04	$138.04	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $177.83	Professional		$100.00	$114.82	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $354.81	Professional		$169.82	$281.84	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $562.34	Facility		$141.25	$204.17	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $208.93	Professional		$89.13	$104.71	$208.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $407.38	Professional		$239.88	$389.05	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $257.04	Professional		$61.66	$104.71	$257.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91