Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.50 / $63.10	Facility		$15.85	$19.50	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.95	Professional		$10.96	$12.88	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $41.69	Professional		$19.95	$33.11	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.30 / $74.13	Facility		$16.22	$26.30	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $23.99	Professional		$10.23	$12.02	$23.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $46.77	Professional		$25.70	$41.69	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.02 / $29.51	Professional		$7.24	$12.02	$29.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98