Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Facility		$39.81	$39.81	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $234.42	Professional		$28.84	$39.81	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $102.33	Professional		$51.29	$81.28	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $120.23	Facility		$40.74	$67.61	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $354.81	Professional		$25.70	$30.20	$354.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $117.49	Professional		$69.18	$102.33	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $60.26	Professional		$17.78	$30.20	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66