Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $109.65 / $199.53	Facility		$53.70	$109.65	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $123.03	Professional		$10.00	$12.59	$123.03
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 / $21.88 / $257.04	Facility		$13.18	$21.88	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $19.05	Professional		$7.08	$9.55	$19.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $38.02	Professional		$22.39	$35.48	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.55 / $23.99	Professional		$5.75	$9.55	$23.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80