Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.90	Facility		$25.12	$25.12	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $32.36	Professional		$18.20	$20.89	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $66.07	Professional		$31.62	$52.48	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $128.82	Facility		$25.70	$30.90	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $32.36	Professional		$13.80	$13.80	$32.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $74.13	Professional		$38.90	$63.10	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $35.48	Professional		$11.48	$16.22	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92