Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $173.78	Professional		$138.04	$144.54	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $295.12	Facility		$120.23	$223.87	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $660.69	Professional		$144.54	$144.54	$660.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $165.96	Professional		$144.54	$144.54	$165.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54