Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $316.23 / $870.96	Facility		$117.49	$316.23	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $457.09	Professional		$83.18	$128.82	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $302.00	Professional		$177.83	$239.88	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $467.74	Facility		$120.23	$199.53	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $1,202.26	Professional		$75.86	$138.04	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $346.74	Professional		$204.17	$302.00	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $223.87	Professional		$75.86	$138.04	$223.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89