Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $138.04 / $138.04	Facility		$26.92	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $34.67	Professional		$19.95	$26.30	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $70.79	Professional		$33.88	$56.23	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $134.90	Facility		$28.18	$45.71	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.62 / $41.69	Professional		$17.78	$18.62	$41.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $81.28	Professional		$44.67	$70.79	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $51.29	Professional		$12.30	$20.89	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51