Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $58.88	Facility		$47.86	$47.86	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $269.15	Professional		$34.67	$47.86	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $123.03	Professional		$61.66	$97.72	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $194.98	Facility		$48.98	$79.43	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $288.40	Professional		$30.90	$36.31	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $141.25	Professional		$83.18	$123.03	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $36.31 / $72.44	Professional		$21.38	$36.31	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29