Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $85.11	Professional		$57.54	$67.61	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $120.23	Professional		$97.72	$97.72	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $173.78	Facility		$64.57	$102.33	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $512.86	Professional		$33.11	$40.74	$512.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $134.90	Professional		$102.33	$114.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $85.11	Professional		$30.90	$39.81	$85.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79