Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $74.13	Professional		$58.88	$64.57	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $128.82	Professional		$102.33	$102.33	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $131.83	Facility		$60.26	$75.86	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $478.63	Professional		$30.20	$37.15	$478.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $100.00	Professional		$75.86	$85.11	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.20 / $67.61	Professional		$29.51	$30.20	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61