Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $22.91	Facility		$18.20	$18.20	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $109.65	Professional		$14.13	$20.89	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $47.86	Professional		$28.18	$38.90	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $31.62 / $58.88	Facility		$19.05	$31.62	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $165.96	Professional		$12.02	$14.13	$165.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $54.95	Professional		$33.11	$47.86	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.13 / $28.18	Professional		$8.51	$14.13	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95