Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Facility		$173.78	$173.78	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $691.83	Professional		$128.82	$173.78	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $446.68	Professional		$223.87	$354.81	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $338.84	Facility		$173.78	$208.93	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $933.25	Professional		$95.50	$112.20	$933.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $512.86	Professional		$263.03	$436.52	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $213.80	Professional		$77.62	$112.20	$213.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21