Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $39.81	Facility		$32.36	$32.36	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $57.54	Professional		$22.91	$25.70	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $83.18	Professional		$41.69	$66.07	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $56.23 / $117.49	Facility		$33.88	$56.23	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $288.40	Professional		$20.89	$24.55	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $95.50	Professional		$57.54	$85.11	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $24.55 / $48.98	Professional		$14.79	$24.55	$48.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48