Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Facility		$104.71	$104.71	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $190.55	Professional		$114.82	$151.36	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $177.83 / $380.19	Facility		$151.36	$177.83	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $112.20	Professional		$53.70	$53.70	$112.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $218.78	Professional		$162.18	$208.93	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $112.20	Professional		$44.67	$63.10	$112.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15