Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $954.99	Facility		$18.20	$22.91	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $109.65	Professional		$14.13	$18.20	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $47.86	Professional		$22.91	$38.90	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.62 / $75.86	Facility		$19.05	$31.62	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $165.96	Professional		$12.02	$14.13	$165.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $54.95	Professional		$33.11	$47.86	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.13 / $34.67	Professional		$8.51	$14.13	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95