Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $128.82	Professional		$19.95	$19.95	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $56.23 / $204.17	Facility		$16.98	$56.23	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $26.30	Professional		$20.89	$22.91	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12