Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $100.00	Professional		$72.44	$87.10	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $154.88	Professional		$123.03	$123.03	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $186.21	Facility		$89.13	$109.65	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $912.01	Professional		$43.65	$52.48	$912.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $144.54	Professional		$109.65	$123.03	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $91.20	Professional		$41.69	$43.65	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50