Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $724.44	Facility		$223.87	$380.19	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $501.19	Professional		$169.82	$229.09	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $630.96	Professional		$316.23	$501.19	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $812.83	Facility		$245.47	$295.12	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $1,318.26	Professional		$147.91	$158.49	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $724.44	Professional		$380.19	$616.60	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $302.00	Professional		$109.65	$158.49	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03