Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $371.54	Facility		$302.00	$302.00	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $1,230.27	Professional		$229.09	$302.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $776.25	Professional		$467.74	$616.60	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $371.54 / $912.01	Facility		$309.03	$371.54	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $1,621.81	Professional		$169.82	$194.98	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $891.25	Professional		$467.74	$758.58	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $371.54	Professional		$134.90	$194.98	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59