Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $194.98	Professional		$100.00	$117.49	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
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 / $141.25 / $245.47	Facility		$120.23	$141.25	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $870.96	Professional		$57.54	$70.79	$870.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $190.55	Professional		$141.25	$162.18	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $117.49	Professional		$47.86	$57.54	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82