Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Facility		$48.98	$48.98	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $63.10	Professional		$34.67	$40.74	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $125.89	Professional		$61.66	$102.33	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $51.29 / $251.19	Facility		$50.12	$51.29	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $63.10	Professional		$26.92	$26.92	$63.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $144.54	Professional		$75.86	$123.03	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $69.18	Professional		$22.39	$31.62	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48