Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $27.54 / $66.07	Facility		$21.88	$27.54	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $61.66	Professional		$15.85	$20.42	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $57.54	Professional		$27.54	$45.71	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $27.54 / $69.18	Facility		$22.91	$27.54	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $28.84	Professional		$12.30	$12.30	$28.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $66.07	Professional		$34.67	$48.98	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $31.62	Professional		$10.00	$14.45	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99