Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $77.62	Facility		$64.57	$64.57	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $218.78	Professional		$43.65	$64.57	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $165.96	Professional		$97.72	$131.83	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $165.96	Facility		$64.57	$77.62	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $338.84	Professional		$30.20	$40.74	$338.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $186.21	Professional		$97.72	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $79.43	Professional		$28.84	$40.74	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18