Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $104.04 / $122.40	Facility		$91.80	$104.04	$122.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $125.31 / $315.11	Professional		$93.97	$125.31	$315.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.67 / $275.41 / $295.83	Professional		$236.67	$275.41	$295.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $167.41 / $271.42	Facility		$128.79	$167.41	$271.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $168.52 / $270.50	Professional		$111.97	$168.52	$270.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $192.63 / $224.08 / $263.06	Facility		$192.63	$224.08	$263.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $239.17 / $330.46	Professional		$126.36	$239.17	$330.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $191.47 / $256.82	Professional		$138.87	$191.47	$256.82
United Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $216.32 / $270.50	Professional		$111.97	$216.32	$270.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $193.50 / $193.50	Professional		$193.50	$193.50	$193.50