Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $134.90 / $363.08	Facility		$39.81	$134.90	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.95 / $61.66	Professional		$9.77	$19.95	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $34.67	Professional		$24.55	$28.18	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $24.55 / $275.42	Facility		$14.45	$24.55	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.20 / $812.83	Professional		$13.80	$30.20	$812.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $30.90	Professional		$13.49	$22.39	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.70 / $41.69	Professional		$13.80	$25.70	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $27.54	Professional		$22.39	$26.30	$27.54