Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $114.82 / $204.17	Facility		$28.84	$114.82	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $21.88	Professional		$12.02	$16.98	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $44.67	Professional		$21.38	$35.48	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $52.48 / $186.21	Facility		$17.78	$52.48	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $22.39	Professional		$9.55	$9.55	$22.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $51.29	Professional		$26.92	$43.65	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $24.55	Professional		$7.76	$11.22	$24.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62