Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $295.12	Facility		$239.88	$239.88	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $1,318.26	Professional		$181.97	$239.88	$1,318.26
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 / $346.74 / $977.24	Facility		$245.47	$346.74	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $1,318.26	Professional		$154.88	$181.97	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $707.95	Professional		$389.05	$676.08	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $354.81	Professional		$107.15	$181.97	$354.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04