Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $134.90	Facility		$44.67	$44.67	$134.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $120.23 / $120.23 / $134.90	Facility	25	$120.23	$120.23	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $123.03 / $190.55	Professional		$26.92	$123.03	$190.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $125.89 / $239.88	Professional	25	$72.44	$125.89	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $158.49 / $281.84	Professional		$66.07	$158.49	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $120.23 / $218.78	Facility		$64.57	$120.23	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $389.05	Professional		$112.20	$181.97	$389.05
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $107.15 / $186.21 / $251.19	Professional	25	$107.15	$186.21	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $288.40	Professional		$154.88	$173.78	$288.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $239.88	Professional		$107.15	$151.36	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $173.78	Professional		$58.88	$104.71	$173.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $281.84	Professional		$138.04	$169.82	$281.84