Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Facility		$141.25	$141.25	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $562.34	Professional		$104.71	$141.25	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $363.08	Professional		$213.80	$288.40	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $398.11	Facility		$141.25	$169.82	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $758.58	Professional		$75.86	$89.13	$758.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $407.38	Professional		$213.80	$346.74	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $173.78	Professional		$63.10	$89.13	$173.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36