Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $66.07 / $204.17	Facility		$29.51	$66.07	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $42.66	Professional		$25.12	$33.11	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $87.10	Professional		$41.69	$70.79	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $147.91	Facility		$34.67	$56.23	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $51.29	Professional		$21.88	$25.70	$51.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $100.00	Professional		$60.26	$89.13	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.70 / $63.10	Professional		$15.49	$25.70	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31