Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $112.20 / $165.96	Facility		$37.15	$112.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $114.82	Professional		$14.13	$16.98	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $43.65	Professional		$20.89	$35.48	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $100.00	Facility		$17.38	$29.51	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $22.39	Professional		$9.33	$12.88	$22.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $51.29	Professional		$30.20	$44.67	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.88 / $32.36	Professional		$7.76	$12.88	$32.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62