Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $107.15 / $263.03	Facility		$37.15	$107.15	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $199.53	Professional		$19.05	$25.70	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $67.61	Professional		$32.36	$53.70	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $56.23 / $138.04	Facility		$26.92	$56.23	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $38.90	Professional		$16.98	$19.50	$38.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $77.62	Professional		$44.67	$67.61	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.50 / $48.98	Professional		$11.75	$19.50	$48.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18