Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $165.96 / $537.03	Facility		$51.29	$165.96	$537.03
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $165.96 / $245.47 / $630.96	Facility	25	$165.96	$245.47	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $190.55	Professional		$52.48	$83.18	$190.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $51.29 / $85.11 / $186.21	Professional	25	$51.29	$85.11	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $199.53	Professional		$52.48	$117.49	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $79.43 / $141.25	Facility		$48.98	$79.43	$141.25
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $151.36 / $151.36 / $186.21	Facility	62	$151.36	$151.36	$186.21
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $23.99 / $23.99 / $29.51	Facility	AS	$23.99	$23.99	$29.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $416.87	Professional		$74.13	$138.04	$416.87
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $100.00 / $134.90 / $199.53	Professional	25	$100.00	$134.90	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $177.83	Professional		$95.50	$128.82	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $162.18	Professional		$77.62	$112.20	$162.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $177.83	Professional		$77.62	$114.82	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $141.25	Professional		$50.12	$85.11	$141.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $144.54	Professional		$79.43	$102.33	$144.54