Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $66.07	Facility		$54.95	$54.95	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $234.42	Professional		$40.74	$54.95	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $141.25	Professional		$70.79	$112.20	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $69.18 / $120.23	Facility		$56.23	$69.18	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $363.08	Professional		$30.20	$35.48	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $162.18	Professional		$87.10	$120.23	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $74.13	Professional		$24.55	$35.48	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88