Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $77.62	Facility		$57.54	$64.57	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $134.90 / $194.98	Professional		$54.95	$134.90	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $158.49 / $181.97	Professional		$67.61	$158.49	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $154.88	Facility		$77.62	$112.20	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $524.81	Professional		$66.07	$95.50	$524.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $134.90	Professional		$89.13	$120.23	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $154.88	Professional		$75.86	$125.89	$154.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $102.33	Professional		$100.00	$100.00	$102.33