Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $35.48	Facility		$28.84	$28.84	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $109.65	Professional		$20.89	$28.84	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $74.13	Professional		$37.15	$60.26	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $35.48 / $58.88	Facility		$30.20	$35.48	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $199.53	Professional		$14.13	$18.62	$199.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $85.11	Professional		$41.69	$64.57	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $36.31	Professional		$13.18	$18.62	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90