Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $269.15	Professional		$165.96	$204.17	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $346.74	Professional		$275.42	$275.42	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $234.42 / $467.74	Facility		$218.78	$234.42	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $1,584.89	Professional		$95.50	$144.54	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $316.23	Professional		$239.88	$269.15	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $199.53	Professional		$93.33	$95.50	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11