Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $158.49 / $426.58	Facility		$15.14	$158.49	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $43.65	Professional		$10.00	$15.14	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $39.81	Professional		$19.05	$31.62	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.12 / $128.82	Facility		$15.49	$25.12	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.48 / $22.91	Professional		$9.77	$11.48	$22.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $44.67	Professional		$26.92	$39.81	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.48 / $28.18	Professional		$6.92	$11.48	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22