Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $120.23	Professional		$41.69	$81.28	$120.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $85.11 / $128.82	Professional	25	$85.11	$85.11	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $190.55	Professional		$46.77	$97.72	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $147.91	Facility		$38.90	$77.62	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $549.54	Professional		$72.44	$109.65	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $194.98	Professional		$95.50	$107.15	$194.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $162.18	Professional		$64.57	$100.00	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $114.82	Professional		$38.90	$67.61	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $190.55	Professional		$83.18	$100.00	$190.55