Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $33.11	Facility		$26.92	$26.92	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $109.65	Professional		$19.95	$26.92	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $69.18	Professional		$34.67	$56.23	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.11 / $79.43	Facility		$27.54	$33.11	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $144.54	Professional		$14.45	$17.38	$144.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $79.43	Professional		$43.65	$67.61	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $36.31	Professional		$12.30	$17.38	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51