Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.82 / $50.59 / $67.45	Facility		$32.82	$50.59	$67.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $72.53 / $177.30	Professional		$38.50	$72.53	$177.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $38.96 / $159.30 / $184.50	Professional	25	$38.96	$159.30	$184.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $103.43 / $162.75	Professional		$66.25	$103.43	$162.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.09 / $84.46 / $128.57	Facility		$50.09	$84.46	$128.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $135.32 / $456.37	Professional		$76.56	$135.32	$456.37
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $70.89 / $136.00 / $186.44	Professional	25	$70.89	$136.00	$186.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $110.28 / $139.38	Facility		$78.23	$110.28	$139.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $104.81 / $142.94	Professional		$76.90	$104.81	$142.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $90.88 / $138.56	Professional		$67.52	$90.88	$138.56
United Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $129.47 / $146.60	Professional		$72.86	$129.47	$146.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $72.90 / $112.50	Professional		$66.30	$72.90	$112.50