Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $57.54 / $186.21	Facility		$16.60	$57.54	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $26.92	Professional		$14.13	$18.20	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $48.98	Professional		$23.44	$38.90	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $22.91 / $100.00	Facility		$8.32	$22.91	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $28.18	Professional		$10.47	$14.13	$28.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $56.23	Professional		$33.11	$48.98	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.13 / $28.18	Professional		$8.51	$14.13	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42