Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $118.88 / $257.36	Facility		$18.76	$118.88	$257.36
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $96.90 / $241.76 / $334.62	Facility	25	$96.90	$241.76	$334.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $22.44 / $57.85	Professional		$8.23	$22.44	$57.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.07 / $30.60 / $61.20	Professional	25	$21.07	$30.60	$61.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $19.55 / $53.24	Professional		$13.13	$19.55	$53.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $20.36 / $37.29	Facility		$9.35	$20.36	$37.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $40.47 / $489.00	Professional		$20.23	$40.47	$489.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $33.96 / $44.73	Facility		$14.23	$33.96	$44.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $28.00 / $42.51	Professional		$13.98	$28.00	$42.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $27.51 / $43.74	Professional		$14.30	$27.51	$43.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $34.95 / $45.30	Professional		$19.94	$34.95	$45.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.50 / $36.40	Professional		$12.30	$13.50	$36.40