Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $125.89 / $144.54	Facility		$43.65	$125.89	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $169.82	Professional		$38.02	$67.61	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $123.03	Professional		$58.88	$97.72	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $57.54 / $245.47	Facility		$47.86	$57.54	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $72.44	Professional		$30.90	$37.15	$72.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $141.25	Professional		$74.13	$120.23	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $72.44	Professional		$21.38	$37.15	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29