Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $549.54 / $1,318.26	Facility		$117.49	$549.54	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $416.87	Professional		$87.10	$117.49	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $302.00	Professional		$151.36	$239.88	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $346.74	Facility		$117.49	$141.25	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $630.96	Professional		$64.57	$74.13	$630.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $346.74	Professional		$177.83	$288.40	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $144.54	Professional		$52.48	$74.13	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89