Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $130.63 / $153.69	Facility		$90.93	$130.63	$153.69
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $382.19 / $382.19 / $382.19	Facility	25	$382.19	$382.19	$382.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $162.44 / $414.90	Professional		$106.61	$162.44	$414.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $125.14 / $248.78 / $423.00	Professional	25	$125.14	$248.78	$423.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.58 / $272.58 / $375.69	Professional		$149.58	$272.58	$375.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $199.81 / $282.47	Facility		$124.87	$199.81	$282.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $299.27 / $1,041.60	Professional		$177.53	$299.27	$1,041.60
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $252.75 / $313.39 / $450.00	Professional	25	$252.75	$313.39	$450.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $257.43 / $323.39	Facility		$214.00	$257.43	$323.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $244.35 / $315.14	Professional		$193.59	$244.35	$315.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $245.23 / $326.68	Professional		$167.40	$245.23	$326.68
United Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $267.47 / $316.06	Professional		$142.26	$267.47	$316.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $207.70 / $262.89	Professional		$188.80	$207.70	$262.89