Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $165.96 / $354.81	Facility		$42.66	$165.96	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $177.83	Professional		$42.66	$67.61	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $158.49	Professional		$93.33	$125.89	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $104.71 / $741.31	Facility		$61.66	$104.71	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $323.59	Professional		$38.90	$45.71	$323.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $177.83	Professional		$97.72	$158.49	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $87.10	Professional		$27.54	$45.71	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07