Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $19.05	Facility		$15.14	$15.14	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.95	Professional		$10.96	$12.88	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $40.74	Professional		$19.50	$32.36	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.30 / $66.07	Facility		$15.85	$26.30	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $23.44	Professional		$10.00	$11.75	$23.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $46.77	Professional		$27.54	$40.74	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.75 / $28.84	Professional		$7.08	$11.75	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98