Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $104.71 / $123.03	Facility		$91.20	$104.71	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $263.03	Professional		$89.13	$114.82	$263.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	25	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $302.00	Professional		$239.88	$275.42	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $165.96 / $269.15	Facility		$128.82	$165.96	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $269.15	Professional		$112.20	$165.96	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $257.04	Professional		$141.25	$213.80	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $288.40	Professional		$112.20	$218.78	$288.40