Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $29.51	Facility		$23.99	$23.99	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $141.25	Professional		$18.20	$23.99	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $63.10	Professional		$31.62	$50.12	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $51.29	Facility		$24.55	$40.74	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $812.83	Professional		$15.49	$18.20	$812.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $72.44	Professional		$42.66	$63.10	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $36.31	Professional		$10.96	$18.20	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30