Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $331.13 / $407.38	Facility		$134.90	$331.13	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $389.05	Professional		$93.33	$141.25	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $338.84	Professional		$199.53	$275.42	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $281.84	Facility		$138.04	$204.17	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $707.95	Professional		$85.11	$89.13	$707.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $389.05	Professional		$208.93	$346.74	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $186.21	Professional		$60.26	$89.13	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25