Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $120.23 / $1,258.93	Facility		$33.11	$120.23	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $114.82	Professional		$26.92	$35.48	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $97.72	Professional		$46.77	$77.62	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $331.13	Facility		$38.90	$74.13	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $57.54	Professional		$24.55	$28.18	$57.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $112.20	Professional		$66.07	$97.72	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $70.79	Professional		$16.98	$28.18	$70.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74