Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $120.23 / $162.18	Facility		$19.05	$120.23	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $117.49	Professional		$15.14	$18.62	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $50.12	Professional		$23.99	$39.81	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.44 / $89.13	Facility		$19.50	$23.44	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.71 / $20.89	Professional		$5.62	$8.71	$20.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $56.23	Professional		$20.89	$42.66	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $12.30 / $27.54	Professional		$5.62	$12.30	$27.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89