Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $87.10 / $204.17	Facility		$45.71	$87.10	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $95.50	Professional		$12.59	$16.22	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $38.90	Professional		$18.62	$30.90	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $54.95 / $186.21	Facility		$15.49	$54.95	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.77 / $22.91	Professional		$8.32	$9.77	$22.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $44.67	Professional		$23.44	$38.02	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.48 / $26.92	Professional		$6.92	$11.48	$26.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22