Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $263.03 / $436.52	Facility		$75.86	$263.03	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $338.84	Professional		$61.66	$91.20	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $218.78	Professional		$131.83	$173.78	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $346.74	Facility		$87.10	$104.71	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $457.09	Professional		$54.95	$64.57	$457.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $251.19	Professional		$138.04	$218.78	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $120.23	Professional		$38.90	$64.57	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20