Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $102.33 / $489.78	Facility		$12.02	$102.33	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $190.55	Professional		$8.71	$12.02	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $31.62	Professional		$15.14	$25.70	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.05 / $70.79	Facility		$12.59	$19.05	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.32 / $16.60	Professional		$6.76	$8.32	$16.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $36.31	Professional		$19.95	$31.62	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.32 / $20.89	Professional		$5.62	$8.32	$20.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18