Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $46.77 / $83.18	Professional		$12.02	$46.77	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $120.23	Professional		$57.54	$72.44	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $42.66 / $79.43	Facility		$18.20	$42.66	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.90 / $251.19	Professional		$12.59	$30.90	$251.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $123.03 / $138.04	Professional		$25.70	$123.03	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $50.12	Professional		$28.18	$30.20	$50.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12