Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $33.88	Facility		$26.92	$26.92	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $34.67	Professional		$19.05	$22.91	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $70.79	Professional		$34.67	$57.54	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $112.20	Facility		$28.18	$45.71	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $41.69	Professional		$17.78	$20.89	$41.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $81.28	Professional		$42.66	$70.79	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.89 / $51.29	Professional		$12.59	$20.89	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51