Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Facility		$223.87	$223.87	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $602.56	Professional		$151.36	$223.87	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $575.44	Professional		$338.84	$457.09	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $446.68	Facility		$190.55	$269.15	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $1,202.26	Professional		$83.18	$141.25	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $660.69	Professional		$323.59	$549.54	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $245.47	Professional		$83.18	$141.25	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88