Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $74.13 / $138.04	Facility		$19.05	$74.13	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $74.13	Professional		$14.13	$18.20	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $48.98	Professional		$23.44	$38.90	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.90 / $75.86	Facility		$19.05	$30.90	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $28.18	Professional		$12.02	$14.13	$28.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $56.23	Professional		$33.11	$48.98	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.13 / $34.67	Professional		$8.51	$14.13	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42