Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $407.38 / $562.34	Facility		$141.25	$407.38	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $512.86	Professional		$141.25	$158.49	$512.86
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 / $380.19 / $524.81	Facility		$204.17	$380.19	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $707.95	Professional		$95.50	$125.89	$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 $95.50 / $125.89 / $165.96	Professional		$95.50	$125.89	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25