Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $426.58	Facility		$354.81	$354.81	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $346.74 / $446.68	Professional		$69.18	$346.74	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $891.25	Professional		$537.03	$724.44	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $363.08 / $691.83	Facility		$109.65	$363.08	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $158.49 / $1,862.09	Professional		$47.86	$158.49	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $870.96 / $1,023.29	Professional		$186.21	$870.96	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $158.49 / $371.54	Professional		$47.86	$158.49	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54