Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $117.49 / $251.19	Facility		$44.67	$117.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.92 / $128.82	Professional		$12.88	$26.92	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $41.69	Professional		$19.95	$33.11	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $40.74 / $120.23	Facility		$16.60	$40.74	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $20.89	Professional		$8.71	$8.71	$20.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $47.86	Professional		$24.55	$40.74	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $22.91	Professional		$7.24	$10.47	$22.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38