Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $776.25	Facility		$407.38	$537.03	$776.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $398.11 / $524.81 / $776.25	Facility	25	$398.11	$524.81	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $229.09	Professional		$56.23	$70.79	$229.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.23 / $93.33 / $251.19	Professional	25	$56.23	$93.33	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $154.88	Professional		$95.50	$125.89	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $117.49	Facility		$74.13	$102.33	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $501.19	Professional		$72.44	$117.49	$501.19
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $131.83 / $131.83 / $173.78	Professional	25	$131.83	$131.83	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $141.25	Professional		$102.33	$117.49	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $134.90	Professional		$100.00	$134.90	$134.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $138.04	Professional		$75.86	$102.33	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $151.36	Professional		$67.61	$107.15	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $151.36	Professional		$97.72	$120.23	$151.36