Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $141.25	Facility		$112.20	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $194.98	Professional		$112.20	$120.23	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $194.98	Professional		$154.88	$154.88	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $436.52	Facility		$204.17	$269.15	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91