Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.96 / $169.82	Facility		$10.00	$10.96	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.72 / $14.13	Professional		$7.94	$10.72	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.44 / $29.51	Professional		$14.13	$23.44	$29.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.05 / $81.28	Facility		$11.75	$19.05	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.76 / $16.98	Professional		$7.41	$7.76	$16.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $33.88	Professional		$18.20	$29.51	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $21.38	Professional		$5.13	$7.76	$21.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30