Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $54.95 / $138.04	Facility		$25.12	$54.95	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $72.44	Professional		$18.20	$21.88	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $63.10	Professional		$30.90	$51.29	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.11 / $109.65	Facility		$25.12	$33.11	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $34.67	Professional		$13.18	$15.85	$34.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $72.44	Professional		$38.02	$61.66	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $38.90	Professional		$11.22	$17.38	$38.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92