Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $26.30	Facility		$20.89	$20.89	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $26.92	Professional		$15.14	$18.20	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $56.23	Professional		$26.92	$44.67	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $35.48 / $109.65	Facility		$21.88	$35.48	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.49 / $30.90	Professional		$13.80	$15.49	$30.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $63.10	Professional		$36.31	$56.23	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.49 / $45.71	Professional		$9.77	$15.49	$45.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91