Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.43 / $139.99 / $405.34	Facility		$125.43	$139.99	$405.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $244.82 / $557.10	Professional		$144.47	$244.82	$557.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $174.62 / $408.51 / $552.69	Professional	25	$174.62	$408.51	$552.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $359.86 / $473.20	Professional		$197.95	$359.86	$473.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $267.88 / $368.81	Facility		$167.16	$267.88	$368.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $368.53 / $1,377.15	Professional		$224.00	$368.53	$1,377.15
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $340.00 / $361.00 / $561.91	Professional	25	$340.00	$361.00	$561.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $269.00 / $349.81 / $426.45	Facility		$269.00	$349.81	$426.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $319.02 / $405.32	Professional		$257.04	$319.02	$405.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $220.94 / $333.73 / $413.30	Professional		$220.94	$333.73	$413.30
United Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $330.54 / $399.24	Professional		$181.46	$330.54	$399.24
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	25	$80.00	$80.00	$80.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $282.70 / $347.30	Professional		$257.00	$282.70	$347.30