Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $109.65 / $123.03	Facility		$19.05	$109.65	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $114.82	Professional		$18.20	$19.05	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $50.12	Professional		$23.99	$39.81	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $32.36 / $100.00	Facility		$19.50	$32.36	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $28.84	Professional		$10.72	$14.45	$28.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $57.54	Professional		$33.88	$50.12	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.45 / $36.31	Professional		$8.71	$14.45	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89