Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Facility		$36.31	$36.31	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $45.71	Professional		$25.70	$30.20	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $93.33	Professional		$44.67	$75.86	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $87.10	Facility		$30.20	$44.67	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $40.74	Professional		$13.80	$13.80	$40.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $107.15	Professional		$38.90	$79.43	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.44 / $40.74	Professional		$13.80	$23.44	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90