Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $204.17	Facility		$165.96	$165.96	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $213.80	Professional		$117.49	$138.04	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $426.58	Professional		$204.17	$338.84	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $851.14	Facility		$165.96	$199.53	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $213.80	Professional		$91.20	$91.20	$213.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $489.78	Professional		$213.80	$416.87	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $234.42	Professional		$74.13	$107.15	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83