Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $208.93 / $549.54	Facility		$57.54	$208.93	$549.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $234.42 / $316.23 / $691.83	Facility	25	$234.42	$316.23	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $407.38	Professional		$95.50	$165.96	$407.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $114.82 / $181.97 / $426.58	Professional	25	$114.82	$181.97	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $398.11	Professional		$114.82	$257.04	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $295.12	Facility		$107.15	$169.82	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $1,122.02	Professional		$138.04	$257.04	$1,122.02
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $281.84 / $363.08 / $467.74	Professional	25	$281.84	$363.08	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $346.74	Professional		$208.93	$263.03	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $323.59	Professional		$169.82	$218.78	$323.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $354.81	Professional		$158.49	$234.42	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $288.40	Professional		$109.65	$181.97	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $281.84	Professional		$173.78	$223.87	$281.84