Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.51 / $220.42 / $714.17	Facility		$111.51	$220.42	$714.17
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $233.60 / $696.80 / $972.80	Facility	25	$233.60	$696.80	$972.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.12 / $175.49 / $476.58	Professional		$115.12	$175.49	$476.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.54 / $201.14 / $445.00	Professional	25	$117.54	$201.14	$445.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $268.16 / $406.11	Professional		$144.88	$268.16	$406.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.26 / $212.94 / $280.95	Facility		$134.26	$212.94	$280.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.70 / $282.57 / $1,127.38	Professional		$165.70	$282.57	$1,127.38
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $284.00 / $284.00 / $420.70	Professional	25	$284.00	$284.00	$420.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $208.16 / $279.33 / $350.32	Facility		$208.16	$279.33	$350.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $232.51 / $290.83	Professional		$171.16	$232.51	$290.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $175.49 / $241.27 / $336.60	Professional		$175.49	$241.27	$336.60
United Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $243.45 / $286.33	Professional		$143.16	$243.45	$286.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $223.40 / $282.70	Professional		$203.00	$223.40	$282.70