Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $48.98	Facility		$32.36	$32.36	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $1,621.81 / $6,456.54	Professional		$32.36	$1,621.81	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Professional		$24.55	$24.55	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $141.25	Facility		$28.84	$52.48	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $41.69	Professional		$19.95	$41.69	$41.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $39.81 / $43.65	Professional		$15.14	$39.81	$43.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74