Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $257.04	Facility		$81.28	$158.49	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $181.97	Professional		$25.12	$45.71	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $173.78	Professional		$83.18	$138.04	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $97.72 / $144.54	Facility		$33.88	$97.72	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $288.40	Professional		$20.89	$24.55	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $95.50	Professional		$57.54	$85.11	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $24.55 / $48.98	Professional		$14.79	$24.55	$48.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48