Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $138.04 / $223.87	Facility		$60.26	$138.04	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $19.95	Professional		$10.96	$15.85	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $41.69	Professional		$19.95	$33.11	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $75.86 / $263.03	Facility		$16.60	$75.86	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $20.89	Professional		$8.71	$8.71	$20.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $47.86	Professional		$24.55	$40.74	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $22.91	Professional		$7.24	$10.47	$22.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38