Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $194.98 / $263.03	Facility		$58.88	$194.98	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $85.11	Professional		$50.12	$53.70	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $173.78	Professional		$83.18	$138.04	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $81.28 / $346.74	Facility		$67.61	$81.28	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $87.10	Professional		$37.15	$37.15	$87.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $199.53	Professional		$102.33	$169.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $95.50	Professional		$30.20	$43.65	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44