Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $33.88	Facility		$28.18	$28.18	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $109.65	Professional		$20.89	$28.18	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $72.44	Professional		$36.31	$57.54	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $58.88	Facility		$28.84	$33.88	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $208.93	Professional		$14.13	$18.20	$208.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $83.18	Professional		$41.69	$61.66	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $34.67	Professional		$12.59	$18.20	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20