Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $72.44 / $114.82	Facility		$14.13	$72.44	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $75.86	Professional		$10.96	$18.20	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $36.31	Professional		$17.38	$28.84	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.44 / $64.57	Facility		$14.13	$23.44	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.31 / $15.14	Professional		$4.07	$6.31	$15.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.90 / $41.69	Professional		$15.14	$30.90	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $9.12 / $19.95	Professional		$4.07	$9.12	$19.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14