Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Facility		$19.95	$19.95	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $109.65	Professional		$15.14	$19.95	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $52.48	Professional		$26.30	$41.69	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $32.36 / $58.88	Facility		$20.89	$32.36	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $181.97	Professional		$13.18	$14.13	$181.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $60.26	Professional		$33.11	$52.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $28.84	Professional		$9.12	$14.13	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88