Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $128.82 / $380.19	Facility		$60.26	$128.82	$380.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	25	$380.19	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $371.54	Professional		$100.00	$162.18	$371.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $208.93 / $398.11	Professional	25	$123.03	$208.93	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $239.88 / $371.54	Professional		$117.49	$239.88	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $295.12	Facility		$100.00	$162.18	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $1,047.13	Professional		$154.88	$275.42	$1,047.13
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $251.19 / $295.12 / $446.68	Professional	25	$251.19	$295.12	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $323.59	Professional		$194.98	$251.19	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $363.08	Professional		$194.98	$251.19	$363.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $323.59	Professional		$158.49	$223.87	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $302.00	Professional		$123.03	$194.98	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $263.03	Professional		$162.18	$208.93	$263.03