Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $24.55	Facility		$19.95	$19.95	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $25.70	Professional		$14.13	$15.85	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $51.29	Professional		$24.55	$41.69	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $24.55 / $102.33	Facility		$18.62	$24.55	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $24.55	Professional		$8.32	$8.32	$24.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $60.26	Professional		$26.92	$51.29	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.18 / $24.55	Professional		$8.32	$13.18	$24.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88