Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $61.66	Facility		$51.29	$51.29	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $64.57	Professional		$36.31	$41.69	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $128.82	Professional		$61.66	$104.71	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $61.66 / $501.19	Facility		$51.29	$61.66	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $64.57	Professional		$27.54	$27.54	$64.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $147.91	Professional		$77.62	$125.89	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $72.44	Professional		$22.91	$32.36	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70