Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $27.54	Facility		$21.88	$21.88	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $28.84	Professional		$15.85	$18.20	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $58.88	Professional		$28.18	$46.77	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $37.15 / $109.65	Facility		$22.91	$37.15	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $33.88	Professional		$14.45	$16.98	$33.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $66.07	Professional		$39.81	$61.66	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.98 / $41.69	Professional		$10.23	$16.98	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55