Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $154.88 / $194.98	Facility		$89.13	$154.88	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $302.00	Professional		$85.11	$114.82	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $218.78	Professional		$107.15	$177.83	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $416.87	Facility		$128.82	$194.98	$416.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $33.88	Professional		$16.22	$26.92	$33.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90