Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $58.88 / $199.53	Facility		$12.02	$58.88	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $15.85	Professional		$8.91	$12.30	$15.85
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 / $18.20 / $64.57	Facility		$12.88	$18.20	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.55 / $18.62	Professional		$8.13	$9.55	$18.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $37.15	Professional		$20.42	$32.36	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.55 / $18.62	Professional		$5.75	$9.55	$18.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49