Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $158.49 / $204.17	Facility		$42.66	$158.49	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $162.18	Professional		$25.12	$34.67	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $91.20	Professional		$43.65	$72.44	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $181.97	Facility		$29.51	$42.66	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $52.48	Professional		$22.39	$26.30	$52.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $104.71	Professional		$61.66	$91.20	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $66.07	Professional		$15.85	$26.30	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02