Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $363.08	Facility		$67.61	$104.71	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $218.78	Professional		$48.98	$83.18	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $173.78	Professional		$104.71	$141.25	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $229.09	Facility		$69.18	$83.18	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $43.65 / $363.08	Professional		$42.66	$43.65	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $199.53	Professional		$104.71	$169.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $85.11	Professional		$30.90	$43.65	$85.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13