Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $23.44	Facility		$19.05	$19.05	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $23.99	Professional		$12.88	$15.14	$23.99
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 $19.50 / $31.62 / $117.49	Facility		$19.50	$31.62	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $28.84	Professional		$12.30	$14.45	$28.84
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 / $14.45 / $35.48	Professional		$8.51	$14.45	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42