Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $176.56 / $678.41	Facility		$50.38	$176.56	$678.41
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $219.67 / $265.91 / $858.27	Facility	25	$219.67	$265.91	$858.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $121.09 / $338.17	Professional		$75.51	$121.09	$338.17
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $62.95 / $123.24 / $320.39	Professional	25	$62.95	$123.24	$320.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $199.66 / $290.51	Professional		$104.47	$199.66	$290.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $143.72 / $200.72	Facility		$83.29	$143.72	$200.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $202.00 / $607.94	Professional		$123.36	$202.00	$607.94
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $154.38 / $202.00 / $330.32	Professional	25	$154.38	$202.00	$330.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $188.65 / $248.95	Facility		$140.69	$188.65	$248.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $164.54 / $216.18	Professional		$121.45	$164.54	$216.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $175.80 / $240.25	Professional		$126.07	$175.80	$240.25
United Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $170.57 / $210.46	Professional		$93.87	$170.57	$210.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $151.00 / $201.50	Professional		$137.30	$151.00	$201.50