Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $457.09	Facility		$245.47	$389.05	$457.09
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $229.09 / $288.40 / $389.05	Facility	25	$229.09	$288.40	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $114.82	Professional		$32.36	$56.23	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $91.20	Professional		$60.26	$77.62	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $60.26 / $93.33	Facility		$39.81	$60.26	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $501.19	Professional		$44.67	$69.18	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $83.18	Professional		$60.26	$79.43	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $91.20	Professional		$66.07	$91.20	$91.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $81.28	Professional		$50.12	$69.18	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $89.13	Professional		$44.67	$69.18	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $97.72	Professional		$58.88	$70.79	$97.72