Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $281.84 / $295.12	Facility		$17.78	$281.84	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $42.66	Professional		$19.95	$26.92	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $66.07	Professional		$31.62	$52.48	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $40.74 / $125.89	Facility		$27.54	$40.74	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $38.90	Professional		$19.05	$19.05	$38.90
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 $16.22 / $23.44 / $38.90	Professional		$16.22	$23.44	$38.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82