Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $75.86 / $134.90	Facility		$12.88	$75.86	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $54.95	Professional		$10.96	$13.18	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $35.48	Professional		$16.98	$28.18	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $22.91 / $54.95	Facility		$13.80	$22.91	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.17 / $14.45	Professional		$3.98	$6.17	$14.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $30.20 / $39.81	Professional		$14.45	$30.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $8.71 / $19.05	Professional		$3.98	$8.71	$19.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45