Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $84.80 / $126.48	Professional		$49.63	$84.80	$126.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $73.05 / $92.38 / $118.22	Professional	25	$73.05	$92.38	$118.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $107.02 / $193.65	Professional		$57.17	$107.02	$193.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $84.69 / $153.63	Facility		$42.59	$84.69	$153.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $134.43 / $329.60	Professional		$80.87	$134.43	$329.60
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $132.56 / $147.71 / $147.71	Professional	25	$132.56	$147.71	$147.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $169.06 / $218.50	Facility		$106.63	$169.06	$218.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $127.06 / $203.07	Professional		$103.38	$127.06	$203.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $108.58 / $170.78	Professional		$71.38	$108.58	$170.78
United Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $111.10 / $194.32	Professional		$62.22	$111.10	$194.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $111.60 / $199.10	Professional		$91.20	$111.60	$199.10