Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $181.97 / $269.15	Facility		$53.70	$181.97	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $56.23 / $181.97	Professional		$19.05	$56.23	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $61.66	Professional		$29.51	$48.98	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $46.77 / $114.82	Facility		$24.55	$46.77	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.79 / $33.11	Professional		$11.22	$14.79	$33.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $69.18	Professional		$33.11	$57.54	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $33.88	Professional		$10.72	$15.14	$33.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70