Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $169.82 / $309.03	Facility		$79.43	$169.82	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $74.13	Professional		$19.05	$25.12	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $66.07	Professional		$31.62	$52.48	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $102.33 / $234.42	Facility		$26.30	$102.33	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $32.36	Professional		$16.22	$17.38	$32.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $74.13	Professional		$40.74	$66.07	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $46.77	Professional		$11.48	$18.62	$46.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92