Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $66.07	Facility		$53.70	$53.70	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $69.18	Professional		$38.02	$44.67	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $138.04	Professional		$67.61	$109.65	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $218.78	Facility		$54.95	$89.13	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $81.28	Professional		$34.67	$40.74	$81.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $158.49	Professional		$83.18	$141.25	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $100.00	Professional		$24.55	$40.74	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54