Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $14.45	Facility		$10.96	$10.96	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $15.14	Professional		$7.94	$10.96	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $30.20	Professional		$14.45	$23.99	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $52.48	Facility		$12.02	$18.62	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.32 / $16.60	Professional		$7.59	$8.32	$16.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $34.67	Professional		$19.50	$30.90	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.32 / $20.89	Professional		$5.37	$8.32	$20.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59