Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $812.83	Facility		$87.10	$114.82	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $457.09	Professional		$85.11	$114.82	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $295.12	Professional		$177.83	$234.42	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $467.74	Facility		$117.49	$141.25	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $616.60	Professional		$74.13	$87.10	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $338.84	Professional		$186.21	$295.12	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $162.18	Professional		$52.48	$87.10	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03