Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $436.52	Facility		$354.81	$354.81	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $457.09	Professional		$257.04	$295.12	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $912.01	Professional		$446.68	$724.44	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $426.58 / $1,819.70	Facility		$363.08	$426.58	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $457.09	Professional		$194.98	$194.98	$457.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,047.13	Professional		$549.54	$891.25	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $457.09	Professional		$158.49	$229.09	$457.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19