Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $91.20 / $147.91	Facility		$19.95	$91.20	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $26.92	Professional		$15.85	$20.42	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $54.95	Professional		$26.30	$43.65	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $37.15 / $213.80	Facility		$21.88	$37.15	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.22 / $32.36	Professional		$13.80	$16.22	$32.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $63.10	Professional		$37.15	$60.26	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $39.81	Professional		$9.55	$16.22	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91