Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Facility		$41.69	$41.69	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $165.96	Professional		$28.18	$41.69	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $107.15	Professional		$64.57	$87.10	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $112.20	Facility		$42.66	$51.29	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $223.87	Professional		$22.91	$26.92	$223.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $123.03	Professional		$64.57	$104.71	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $51.29	Professional		$19.05	$26.92	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67