Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $513.76 / $781.82	Facility		$107.55	$513.76	$781.82
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $395.14 / $527.04 / $871.06	Facility	25	$395.14	$527.04	$871.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $69.37 / $264.77	Professional		$55.43	$69.37	$264.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.58 / $105.57 / $184.03	Professional	25	$56.58	$105.57	$184.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $122.29 / $152.86	Professional		$102.38	$122.29	$152.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $100.83 / $117.24	Facility		$81.31	$100.83	$117.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $117.78 / $500.00	Professional		$72.23	$117.78	$500.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $130.90 / $130.90 / $173.96	Professional	25	$130.90	$130.90	$173.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $129.77 / $140.13	Facility		$92.66	$129.77	$140.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $115.43 / $135.44	Professional		$88.00	$115.43	$135.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $103.23 / $136.50	Professional		$75.08	$103.23	$136.50
United Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $96.28 / $123.71	Professional		$56.44	$96.28	$123.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $119.70 / $119.70	Professional		$116.30	$119.70	$119.70