Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Facility		$162.18	$162.18	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $645.65	Professional		$123.03	$162.18	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $416.87	Professional		$208.93	$338.84	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $323.59	Facility		$165.96	$199.53	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $870.96	Professional		$89.13	$104.71	$870.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $478.63	Professional		$251.19	$407.38	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $199.53	Professional		$74.13	$104.71	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78