Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Facility		$75.86	$75.86	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $95.50	Professional		$52.48	$61.66	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $194.98	Professional		$93.33	$154.88	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $75.86 / $147.91	Facility		$9.77	$75.86	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.03 / $81.28	Professional		$4.07	$6.03	$81.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $165.96 / $218.78	Professional		$15.85	$165.96	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $33.88 / $81.28	Professional		$4.07	$33.88	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28