Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $251.19 / $295.12	Facility		$81.28	$251.19	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $213.80	Professional		$52.48	$74.13	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $190.55	Professional		$91.20	$151.36	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $89.13 / $223.87	Facility		$43.65	$89.13	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $79.43	Professional		$19.05	$19.95	$79.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $162.18 / $218.78	Professional		$74.13	$162.18	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $46.77 / $79.43	Professional		$19.05	$46.77	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43