Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Facility		$245.47	$245.47	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $977.24	Professional		$181.97	$245.47	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $630.96	Professional		$302.00	$501.19	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $295.12 / $1,230.27	Facility		$0.02	$295.12	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $1,288.25	Professional		$131.83	$154.88	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $707.95	Professional		$371.54	$602.56	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $346.74	Professional		$109.65	$154.88	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03