Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Facility		$57.54	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $74.13	Professional		$40.74	$47.86	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $147.91	Professional		$72.44	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $295.12	Facility		$58.88	$70.79	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $74.13	Professional		$31.62	$31.62	$74.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $169.82	Professional		$89.13	$144.54	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $81.28	Professional		$26.30	$37.15	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66