Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $245.47	Facility		$204.17	$204.17	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $1,096.48	Professional		$151.36	$218.78	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $524.81	Professional		$263.03	$416.87	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $812.83	Facility		$204.17	$288.40	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $1,096.48	Professional		$131.83	$147.91	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $602.56	Professional		$323.59	$575.44	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $295.12	Professional		$91.20	$147.91	$295.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78