Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Facility		$107.15	$107.15	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $138.04	Professional		$75.86	$89.13	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $275.42	Professional		$131.83	$218.78	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $549.54	Facility		$107.15	$109.65	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $138.04	Professional		$58.88	$58.88	$138.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $316.23	Professional		$162.18	$269.15	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $151.36	Professional		$47.86	$69.18	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82