Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Facility		$77.62	$77.62	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $64.57 / $100.00	Professional		$7.08	$64.57	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $199.53	Professional		$97.72	$162.18	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $398.11	Facility		$79.43	$95.50	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $100.00	Professional		$42.66	$42.66	$100.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $229.09	Professional		$120.23	$194.98	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $109.65	Professional		$35.48	$50.12	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18