Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $107.15	Facility		$81.28	$91.20	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $346.74	Professional		$77.62	$147.91	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $239.88 / $275.42	Professional		$93.33	$239.88	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $213.80	Facility		$109.65	$154.88	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $707.95	Professional		$100.00	$147.91	$707.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $190.55	Professional		$128.82	$173.78	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $234.42	Professional		$104.71	$177.83	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Professional		$141.25	$141.25	$144.54