Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $56.23 / $69.18	Facility		$10.00	$56.23	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $12.88	Professional		$7.08	$7.94	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.38 / $26.92	Professional		$12.88	$21.38	$26.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.88 / $38.90	Facility		$10.47	$12.88	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $13.18	Professional		$5.89	$5.89	$13.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $30.20	Professional		$15.85	$22.91	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.61 / $14.79	Professional		$4.57	$6.61	$14.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96