Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $98.35 / $316.88	Facility		$52.78	$98.35	$316.88
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $124.50 / $203.22 / $316.88	Facility	25	$124.50	$203.22	$316.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $52.99 / $137.06	Professional		$29.15	$52.99	$137.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.07 / $68.53 / $137.06	Professional	25	$33.07	$68.53	$137.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $78.33 / $123.03	Professional		$40.06	$78.33	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $53.80 / $86.66	Facility		$33.76	$53.80	$86.66
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $93.75 / $93.75 / $99.33	Facility	62	$93.75	$93.75	$99.33
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $15.00 / $15.00 / $15.89	Facility	AS	$15.00	$15.00	$15.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $81.09 / $354.09	Professional		$47.63	$81.09	$354.09
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $74.80 / $81.36 / $146.29	Professional	25	$74.80	$81.36	$146.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $68.33 / $109.10	Facility		$56.00	$68.33	$109.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $64.18 / $90.82	Professional		$48.41	$64.18	$90.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $67.92 / $106.50	Professional		$47.97	$67.92	$106.50
United Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $81.09 / $87.85	Professional		$45.27	$81.09	$87.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $54.70 / $88.50	Professional		$49.70	$54.70	$88.50