Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $177.83 / $223.87	Facility		$43.65	$177.83	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $177.83	Professional		$34.67	$46.77	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $112.20	Professional		$53.70	$91.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $53.70 / $165.96	Facility		$29.51	$53.70	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $66.07	Professional		$28.18	$33.11	$66.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $128.82	Professional		$75.86	$112.20	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $69.18	Professional		$19.95	$33.11	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77