Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $194.98 / $724.44	Facility		$97.72	$194.98	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $257.04	Professional		$97.72	$114.82	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $131.83	Professional		$63.10	$104.71	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $436.52	Facility		$138.04	$194.98	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.78 / $22.39	Professional		$10.72	$17.78	$22.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00