Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $77.62 / $616.60	Facility		$19.95	$77.62	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $25.70	Professional		$15.14	$19.95	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $52.48	Professional		$25.12	$41.69	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $25.12 / $123.03	Facility		$11.75	$25.12	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.49 / $30.90	Professional		$13.18	$15.49	$30.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $60.26	Professional		$35.48	$52.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $38.02	Professional		$9.12	$15.49	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88