Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $380.19 / $1,174.90	Facility		$141.25	$380.19	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $741.31	Professional		$104.71	$158.49	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $363.08	Professional		$213.80	$288.40	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $537.03	Facility		$144.54	$239.88	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $1,258.93	Professional		$91.20	$165.96	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $416.87	Professional		$213.80	$363.08	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $269.15	Professional		$91.20	$165.96	$269.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36