Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $46.77	Facility		$38.02	$38.02	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $144.54	Professional		$28.18	$38.02	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $97.72	Professional		$57.54	$77.62	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $74.13	Facility		$38.02	$45.71	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $389.05	Professional		$24.55	$29.51	$389.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $112.20	Professional		$54.95	$83.18	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $66.07	Professional		$24.55	$29.51	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74