Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Facility		$52.48	$52.48	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $66.07	Professional		$37.15	$42.66	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $134.90	Professional		$64.57	$107.15	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $537.03	Facility		$52.48	$63.10	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $66.07	Professional		$28.18	$28.18	$66.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $151.36	Professional		$79.43	$128.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $74.13	Professional		$23.44	$33.11	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95