Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $380.19	Professional		$309.03	$316.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $398.11	Professional		$323.59	$323.59	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $380.19 / $645.65	Facility		$346.74	$380.19	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $1,445.44	Professional		$323.59	$323.59	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $371.54	Professional		$323.59	$323.59	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59