Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $54.95	Facility		$44.67	$44.67	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $190.55	Professional		$33.11	$44.67	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $114.82	Professional		$57.54	$93.33	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $56.23 / $117.49	Facility		$45.71	$56.23	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $288.40	Professional		$24.55	$28.84	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $131.83	Professional		$72.44	$97.72	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $60.26	Professional		$20.42	$28.84	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86