Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Facility		$114.82	$114.82	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $562.34	Professional		$85.11	$114.82	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $295.12	Professional		$147.91	$234.42	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $223.87	Facility		$114.82	$138.04	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $616.60	Professional		$74.13	$77.62	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $338.84	Professional		$173.78	$288.40	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $151.36	Professional		$51.29	$77.62	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03