Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Facility		$162.18	$162.18	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $933.25	Professional		$120.23	$162.18	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $416.87	Professional		$245.47	$331.13	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $489.78	Facility		$165.96	$275.42	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $1,412.54	Professional		$104.71	$190.55	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $416.87 / $478.63	Professional		$204.17	$416.87	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $309.03	Professional		$104.71	$190.55	$309.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78