Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $194.98	Facility		$158.49	$158.49	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $281.84	Professional		$100.00	$131.83	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $407.38	Professional		$245.47	$323.59	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $354.81	Facility		$151.36	$190.55	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $851.14	Professional		$66.07	$102.33	$851.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $467.74	Professional		$245.47	$398.11	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $194.98	Professional		$66.07	$102.33	$194.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82