Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $57.54	Facility		$46.77	$46.77	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $134.90	Professional		$26.92	$38.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $120.23	Professional		$57.54	$95.50	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $223.87	Facility		$47.86	$74.13	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $70.79	Professional		$30.20	$35.48	$70.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $138.04	Professional		$75.86	$123.03	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $87.10	Professional		$21.38	$35.48	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12