Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $173.78 / $173.78	Facility		$22.91	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $2,630.27	Professional		$16.98	$22.91	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $61.66	Professional		$29.51	$48.98	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.90 / $100.00	Facility		$23.99	$38.90	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $35.48	Professional		$15.14	$17.78	$35.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $70.79	Professional		$37.15	$61.66	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.78 / $43.65	Professional		$10.72	$17.78	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70