Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $213.80	Facility		$100.00	$114.82	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $154.88	Professional		$91.20	$100.00	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $114.82	Professional		$93.33	$93.33	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $144.54 / $275.42	Facility		$112.20	$144.54	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $104.71	Professional		$41.69	$104.71	$104.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $117.49	Professional		$81.28	$107.15	$117.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50