Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Facility		$81.28	$81.28	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $104.71	Professional		$57.54	$67.61	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $208.93	Professional		$100.00	$165.96	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $380.19	Facility		$81.28	$134.90	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $120.23	Professional		$42.66	$52.48	$120.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $239.88	Professional		$112.20	$204.17	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $125.89	Professional		$36.31	$60.26	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10