Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.85 / $569.85 / $2,332.26	Facility		$569.85	$569.85	$2,332.26
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $997.50 / $997.50 / $997.50	Facility	25	$997.50	$997.50	$997.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $106.40 / $332.86	Professional		$96.43	$106.40	$332.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $101.12 / $273.23 / $546.46	Professional	25	$101.12	$273.23	$546.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $206.48 / $262.37	Professional		$116.75	$206.48	$262.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.34 / $160.63 / $213.34	Facility		$111.34	$160.63	$213.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $225.08 / $1,183.50	Professional		$140.51	$225.08	$1,183.50
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $264.18 / $264.18 / $264.18	Professional	25	$264.18	$264.18	$264.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.22 / $205.00 / $236.78	Facility		$173.22	$205.00	$236.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $194.74 / $232.98	Professional		$154.29	$194.74	$232.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $196.31 / $244.93	Professional		$127.83	$196.31	$244.93
United Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $203.55 / $240.38	Professional		$113.36	$203.55	$240.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $193.00 / $216.70	Professional		$187.40	$193.00	$216.70