Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $62.00 / $133.93	Facility		$45.00	$62.00	$133.93
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $121.58 / $121.58 / $135.44	Facility	25	$121.58	$121.58	$135.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $124.67 / $181.90	Professional		$71.84	$124.67	$181.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.33 / $126.48 / $141.51	Professional	25	$71.33	$126.48	$141.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $157.18 / $274.45	Professional		$86.34	$157.18	$274.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $120.18 / $217.01	Facility		$64.27	$120.18	$217.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $184.10 / $476.78	Professional		$113.95	$184.10	$476.78
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $106.55 / $187.74 / $250.00	Professional	25	$106.55	$187.74	$250.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $239.50 / $309.54	Facility		$160.66	$239.50	$309.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $191.43 / $287.30	Professional		$156.34	$191.43	$287.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $154.07 / $241.94	Professional		$107.55	$154.07	$241.94
United Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $144.12 / $229.31	Professional		$105.36	$144.12	$229.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $168.10 / $282.00	Professional		$137.40	$168.10	$282.00