Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $127.74 / $265.41	Facility		$53.20	$127.74	$265.41
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $515.80 / $515.80 / $515.80	Facility	25	$515.80	$515.80	$515.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $109.11 / $279.00	Professional		$66.48	$109.11	$279.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $65.23 / $124.16 / $266.11	Professional	25	$65.23	$124.16	$266.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $168.30 / $250.97	Professional		$94.16	$168.30	$250.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $131.33 / $184.84	Facility		$82.74	$131.33	$184.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $191.50 / $699.27	Professional		$116.94	$191.50	$699.27
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $177.65 / $187.00 / $285.16	Professional	25	$177.65	$187.00	$285.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.49 / $158.68 / $215.00	Facility		$133.49	$158.68	$215.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $158.68 / $209.56	Professional		$118.88	$158.68	$209.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $158.49 / $215.90	Professional		$111.94	$158.49	$215.90
United Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $188.05 / $240.84	Professional		$92.95	$188.05	$240.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $127.60 / $175.50	Professional		$116.00	$127.60	$175.50