Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $83.18 / $537.03	Facility		$25.70	$83.18	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $64.57	Professional		$16.22	$19.50	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $51.29	Professional		$24.55	$41.69	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $47.86 / $194.98	Facility		$20.89	$47.86	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $44.67	Professional		$10.96	$15.14	$44.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $60.26	Professional		$35.48	$52.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $38.02	Professional		$9.12	$15.14	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88