Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $125.89	Professional		$91.20	$107.15	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $190.55	Professional		$151.36	$151.36	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $251.19	Facility		$123.03	$147.91	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $1,023.29	Professional		$53.70	$64.57	$1,023.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $194.98	Professional		$147.91	$165.96	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $128.82	Professional		$50.12	$58.88	$128.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49