Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $263.03 / $616.60	Facility		$117.49	$263.03	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $72.44 / $263.03	Professional		$25.12	$72.44	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $97.72	Professional		$46.77	$77.62	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $380.19	Facility		$34.67	$81.28	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.99 / $46.77	Professional		$23.44	$23.99	$46.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $51.29	Professional		$19.95	$28.18	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18