Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $79.43 / $158.49	Facility		$15.49	$79.43	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $104.71	Professional		$10.00	$12.30	$104.71
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 $12.88 / $20.89 / $70.79	Facility		$12.88	$20.89	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.55 / $19.05	Professional		$6.92	$9.55	$19.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $37.15	Professional		$21.88	$35.48	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.55 / $23.44	Professional		$5.75	$9.55	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49