Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $125.89	Professional		$100.00	$120.23	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $208.93	Professional		$165.96	$165.96	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $245.47	Facility		$120.23	$144.54	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $891.25	Professional		$57.54	$70.79	$891.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $190.55	Professional		$144.54	$162.18	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $120.23	Professional		$56.23	$57.54	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82