Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,090.30 / $3,090.30	Facility		$616.60	$3,090.30	$3,090.30
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $851.14 / $1,621.81 / $1,995.26	Facility	25	$851.14	$1,621.81	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $660.69	Professional		$173.78	$245.47	$660.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $446.68 / $776.25	Professional	25	$194.98	$446.68	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $616.60	Professional		$204.17	$426.58	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $489.78	Facility		$204.17	$323.59	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $1,737.80	Professional		$295.12	$489.78	$1,737.80
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $407.38 / $524.81 / $724.44	Professional	25	$407.38	$524.81	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $537.03	Professional		$309.03	$426.58	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $602.56	Professional		$338.84	$489.78	$602.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $537.03	Professional		$288.40	$407.38	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $575.44	Professional		$239.88	$389.05	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $501.19	Professional		$371.54	$407.38	$501.19