Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $66.07	Facility		$53.70	$53.70	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $53.70 / $109.65	Professional		$20.89	$53.70	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $138.04	Professional		$69.18	$109.65	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $58.88 / $91.20	Facility		$32.36	$58.88	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $288.40	Professional		$14.13	$28.18	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $117.49 / $158.49	Professional		$54.95	$117.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $57.54	Professional		$14.13	$28.18	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54