Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $107.15	Professional		$83.18	$100.00	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $181.97	Professional		$147.91	$147.91	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $204.17	Facility		$100.00	$120.23	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $851.14	Professional		$47.86	$60.26	$851.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $158.49	Professional		$120.23	$134.90	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $100.00	Professional		$46.77	$47.86	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15