Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $52.48 / $109.65	Facility		$23.99	$52.48	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.47 / $91.20	Professional		$7.94	$10.47	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $27.54	Professional		$13.18	$21.88	$27.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.18 / $56.23	Facility		$10.72	$13.18	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.32 / $16.60	Professional		$7.08	$8.32	$16.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $32.36	Professional		$19.05	$28.18	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.32 / $20.42	Professional		$4.90	$8.32	$20.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75