Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $194.98	Facility		$75.86	$75.86	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $128.82	Professional		$75.86	$75.86	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $66.07	Professional		$52.48	$52.48	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $107.15 / $204.17	Facility		$57.54	$107.15	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $81.28	Professional		$63.10	$81.28	$81.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $87.10	Professional		$52.48	$81.28	$87.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13