Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.96 / $703.71 / $1,499.76	Facility		$409.96	$703.71	$1,499.76
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $360.50 / $838.00 / $1,723.02	Facility	25	$360.50	$838.00	$1,723.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $132.00 / $525.46	Professional		$95.74	$132.00	$525.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $94.93 / $226.40 / $524.40	Professional	25	$94.93	$226.40	$524.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $209.95 / $259.33	Professional		$179.98	$209.95	$259.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $171.51 / $223.08	Facility		$138.31	$171.51	$223.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $223.46 / $748.12	Professional		$145.34	$223.46	$748.12
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $188.19 / $243.00 / $393.30	Professional	25	$188.19	$243.00	$393.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $218.04 / $238.50	Facility		$168.00	$218.04	$238.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $194.74 / $234.80	Professional		$152.00	$194.74	$234.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $196.44 / $232.88	Professional		$142.87	$196.44	$232.88
United Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $194.58 / $239.74	Professional		$125.58	$194.58	$239.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $204.30 / $204.30	Professional		$198.40	$204.30	$204.30