Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Facility		$57.54	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $229.09	Professional		$42.66	$57.54	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $147.91	Professional		$89.13	$117.49	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $331.13	Facility		$57.54	$69.18	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $309.03	Professional		$31.62	$37.15	$309.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $169.82	Professional		$87.10	$144.54	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $70.79	Professional		$25.70	$37.15	$70.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66