Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $79.43 / $128.82	Facility		$14.45	$79.43	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $46.77	Professional		$8.91	$11.48	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $30.20	Professional		$14.45	$23.99	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $239.88	Facility		$12.02	$19.95	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.71 / $17.38	Professional		$7.59	$8.71	$17.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $34.67	Professional		$20.42	$30.20	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.71 / $21.88	Professional		$5.25	$8.71	$21.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59