Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $69.18 / $147.91	Facility		$48.98	$69.18	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $74.13	Professional		$8.91	$10.96	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.91 / $28.18	Professional		$13.49	$22.91	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $21.88 / $138.04	Facility		$11.48	$21.88	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $16.98	Professional		$6.17	$8.51	$16.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $33.11	Professional		$19.50	$28.84	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.51 / $20.89	Professional		$5.01	$8.51	$20.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02