Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $87.10 / $190.55	Facility		$15.14	$87.10	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $19.05	Professional		$10.47	$12.59	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $38.90	Professional		$18.62	$30.90	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $52.48	Facility		$15.14	$18.62	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.32 / $19.50	Professional		$8.13	$8.32	$19.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $43.65	Professional		$22.91	$33.11	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $21.38	Professional		$6.76	$9.55	$21.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22