Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $34.67	Facility		$28.84	$28.84	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $36.31	Professional		$16.98	$21.88	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $56.23	Professional		$26.92	$44.67	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $34.67 / $56.23	Facility		$23.99	$34.67	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $33.11	Professional		$15.85	$15.85	$33.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.22 / $33.11	Professional		$13.80	$16.22	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82