Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $104.71	Facility		$85.11	$85.11	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $109.65	Professional		$61.66	$70.79	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $218.78	Professional		$104.71	$173.78	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $354.81	Facility		$85.11	$128.82	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $128.82	Professional		$54.95	$58.88	$128.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $251.19	Professional		$131.83	$218.78	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $158.49	Professional		$38.02	$63.10	$158.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20