Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $56.23	Facility		$47.86	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $75.86	Professional		$43.65	$46.77	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $158.49	Professional		$128.82	$128.82	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $489.78	Facility		$72.44	$128.82	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $125.89	Professional		$58.88	$69.18	$125.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $363.08	Professional		$354.81	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $125.89	Professional		$46.77	$46.77	$125.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77