Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $776.25 / $1,621.81	Facility		$309.03	$776.25	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $1,230.27	Professional		$229.09	$309.03	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $794.33	Professional		$398.11	$630.96	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $371.54 / $602.56	Facility		$309.03	$371.54	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $1,659.59	Professional		$169.82	$199.53	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $912.01	Professional		$467.74	$776.25	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $380.19	Professional		$138.04	$199.53	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13