Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $154.88	Facility		$128.82	$128.82	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $512.86	Professional		$95.50	$128.82	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $331.13	Professional		$165.96	$263.03	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $251.19	Facility		$128.82	$154.88	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $691.83	Professional		$69.18	$81.28	$691.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $380.19	Professional		$194.98	$323.59	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $158.49	Professional		$57.54	$81.28	$158.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04