Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $354.81 / $562.34	Facility		$141.25	$354.81	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $389.05	Professional		$141.25	$204.17	$389.05
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 $204.17 / $239.88 / $389.05	Facility		$204.17	$239.88	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $707.95	Professional		$81.28	$87.10	$707.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $389.05	Professional		$204.17	$331.13	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $165.96	Professional		$66.07	$87.10	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25