Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $295.12 / $338.84	Facility		$63.10	$295.12	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $302.00	Professional		$52.48	$81.28	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $162.18	Professional		$77.62	$128.82	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $104.71 / $257.04	Facility		$63.10	$104.71	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $93.33	Professional		$40.74	$46.77	$93.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $186.21	Professional		$109.65	$162.18	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $117.49	Professional		$28.18	$46.77	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61