Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $245.47	Facility		$199.53	$199.53	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $812.83	Professional		$85.11	$199.53	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $512.86	Professional		$309.03	$407.38	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $616.60	Facility		$204.17	$245.47	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $1,071.52	Professional		$112.20	$128.82	$1,071.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $588.84	Professional		$309.03	$501.19	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $245.47	Professional		$89.13	$128.82	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80