Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $776.25	Facility		$239.88	$295.12	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $954.99	Professional		$181.97	$269.15	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $616.60	Professional		$309.03	$489.78	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $501.19	Facility		$245.47	$398.11	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $1,819.70	Professional		$154.88	$181.97	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $707.95	Professional		$416.87	$616.60	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $363.08	Professional		$107.15	$181.97	$363.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04