Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $70.79	Facility		$41.69	$41.69	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $123.03	Professional		$60.26	$97.72	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $245.47	Facility		$60.26	$70.79	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $61.66	Professional		$21.38	$21.38	$61.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $141.25	Professional		$74.13	$120.23	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $61.66	Professional		$21.38	$21.88	$61.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29