Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $173.78	Facility		$72.44	$89.13	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $93.33	Professional		$52.48	$60.26	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $186.21	Professional		$89.13	$147.91	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $74.13 / $371.54	Facility		$29.51	$74.13	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $77.62	Professional		$26.30	$26.30	$77.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $213.80	Professional		$85.11	$181.97	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $77.62	Professional		$26.30	$46.77	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62