Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $190.55	Facility		$154.88	$154.88	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $199.53	Professional		$109.65	$128.82	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $398.11	Professional		$190.55	$316.23	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $213.80 / $512.86	Facility		$154.88	$213.80	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $199.53	Professional		$95.50	$95.50	$199.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $457.09	Professional		$218.78	$371.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $234.42	Professional		$69.18	$100.00	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96