Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $109.65 / $295.12	Facility		$15.49	$109.65	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $57.54 / $89.13	Professional		$10.00	$57.54	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $32.36	Professional		$15.85	$26.30	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.89 / $141.25	Facility		$13.18	$20.89	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $17.38	Professional		$5.89	$5.89	$17.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $38.02	Professional		$19.05	$32.36	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $17.38	Professional		$5.75	$8.32	$17.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80