Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $165.96	Professional		$57.54	$69.18	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $151.36	Facility		$64.57	$89.13	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $489.78	Professional		$35.48	$39.81	$489.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $117.49	Professional		$87.10	$100.00	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $74.13	Professional		$29.51	$35.48	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19