Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Facility		$123.03	$123.03	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $478.63	Professional		$91.20	$138.04	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $309.03	Professional		$154.88	$251.19	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.53 / $257.04	Facility		$123.03	$199.53	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $1,071.52	Professional		$77.62	$91.20	$1,071.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $354.81	Professional		$213.80	$316.23	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $181.97	Professional		$54.95	$91.20	$181.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83