Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $38.90	Facility		$30.90	$30.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $39.81	Professional		$21.88	$25.70	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $81.28	Professional		$38.90	$66.07	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $162.18	Facility		$32.36	$52.48	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $47.86	Professional		$20.42	$23.99	$47.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $93.33	Professional		$54.95	$81.28	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $58.88	Professional		$14.13	$23.99	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88