Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $50.12 / $501.19	Facility		$40.74	$50.12	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $218.78	Professional		$30.20	$50.12	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $104.71	Professional		$63.10	$83.18	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $48.98 / $165.96	Facility		$40.74	$48.98	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $218.78	Professional		$26.30	$30.20	$218.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $120.23	Professional		$66.07	$104.71	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $57.54	Professional		$18.20	$30.20	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65