Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $109.65	Facility		$89.13	$89.13	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $114.82	Professional		$64.57	$74.13	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $229.09	Professional		$109.65	$181.97	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $107.15 / $457.09	Facility		$89.13	$107.15	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $114.82	Professional		$56.23	$56.23	$114.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $263.03	Professional		$138.04	$223.87	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $141.25	Professional		$39.81	$57.54	$141.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50