Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $333.74 / $526.79	Facility		$218.06	$333.74	$526.79
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $223.45 / $309.27 / $487.78	Facility	25	$223.45	$309.27	$487.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $62.41 / $118.55	Professional		$35.46	$62.41	$118.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $73.27 / $90.50	Professional		$63.15	$73.27	$90.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $59.57 / $82.75	Facility		$39.59	$59.57	$82.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $76.12 / $500.00	Professional		$44.28	$76.12	$500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $75.64 / $82.29	Facility		$57.00	$75.64	$82.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $67.83 / $82.32	Professional		$49.26	$67.83	$82.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $68.43 / $80.86	Professional		$49.78	$68.43	$80.86
United Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $71.13 / $110.28	Professional		$44.28	$71.13	$110.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $70.90 / $70.90	Professional		$68.90	$70.90	$70.90