Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $102.33 / $257.04	Facility		$56.23	$102.33	$257.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $512.86 / $512.86 / $602.56	Facility	25	$512.86	$512.86	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $239.88	Professional		$66.07	$107.15	$239.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $120.23 / $245.47	Professional	25	$66.07	$120.23	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $239.88	Professional		$77.62	$147.91	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $107.15 / $186.21	Facility		$61.66	$107.15	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $691.83	Professional		$102.33	$181.97	$691.83
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $165.96 / $194.98 / $288.40	Professional	25	$165.96	$194.98	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $213.80	Professional		$120.23	$158.49	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $239.88	Professional		$114.82	$162.18	$239.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $218.78	Professional		$97.72	$151.36	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $199.53	Professional		$75.86	$123.03	$199.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $173.78	Professional		$97.72	$128.82	$173.78