Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $33.11	Professional		$19.05	$19.95	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $41.69	Professional		$33.11	$33.11	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.90 / $60.26	Facility		$23.99	$30.90	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $19.50	Professional		$16.60	$19.50	$19.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $21.38	Professional		$19.50	$19.50	$21.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50