Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $977.24	Professional		$177.83	$239.88	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $616.60	Professional		$363.08	$489.78	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $288.40 / $794.33	Facility		$239.88	$288.40	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $1,288.25	Professional		$134.90	$151.36	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $707.95	Professional		$363.08	$588.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $295.12	Professional		$107.15	$151.36	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04