Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $229.09 / $302.00	Facility		$72.44	$229.09	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $245.47	Professional		$50.12	$57.54	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $147.91	Professional		$70.79	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $269.15	Facility		$58.88	$100.00	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $87.10	Professional		$31.62	$43.65	$87.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $169.82	Professional		$102.33	$147.91	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $107.15	Professional		$26.30	$43.65	$107.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66