Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Facility		$81.28	$81.28	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $331.13	Professional		$48.98	$81.28	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $213.80	Professional		$125.89	$169.82	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $199.53	Facility		$83.18	$100.00	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $436.52	Professional		$44.67	$52.48	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $239.88	Professional		$125.89	$204.17	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $102.33	Professional		$37.15	$52.48	$102.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13