Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $32.36 / $141.25	Facility		$10.96	$32.36	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $56.23	Professional		$8.91	$10.96	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.91 / $28.18	Professional		$13.49	$22.91	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.62 / $87.10	Facility		$11.22	$18.62	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $16.98	Professional		$7.24	$8.32	$16.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $33.11	Professional		$19.50	$28.84	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.32 / $20.89	Professional		$5.01	$8.32	$20.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02