Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $363.08	Professional		$295.12	$295.12	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $323.59	Facility		$158.49	$190.55	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $1,258.93	Professional		$75.86	$95.50	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $251.19	Professional		$190.55	$213.80	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $190.55	Professional		$74.13	$75.86	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82