Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $74.13	Facility		$66.07	$66.07	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $158.49	Professional		$64.57	$81.28	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $75.86	Professional		$61.66	$61.66	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $181.97	Facility		$74.13	$95.50	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $70.79	Professional		$53.70	$70.79	$70.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $79.43	Professional		$64.57	$70.79	$79.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10