Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $53.70 / $123.03	Facility		$25.12	$53.70	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.47 / $75.86	Professional		$6.03	$10.47	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $19.95	Professional		$9.55	$15.85	$19.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $39.81 / $104.71	Facility		$9.12	$39.81	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.62 / $11.22	Professional		$4.07	$5.62	$11.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.50 / $22.39	Professional		$11.75	$19.50	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.62 / $14.13	Professional		$3.39	$5.62	$14.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13