Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $147.91 / $257.04	Facility		$60.26	$147.91	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $173.78	Professional		$21.88	$30.20	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $70.79	Professional		$34.67	$57.54	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $107.15 / $218.78	Facility		$26.92	$107.15	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $35.48	Professional		$15.14	$20.89	$35.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $81.28	Professional		$47.86	$70.79	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $51.29	Professional		$12.30	$20.89	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51