Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $142.51 / $167.66	Facility		$125.74	$142.51	$167.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $167.66 / $218.56	Professional		$135.28	$167.66	$218.56
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $240.88 / $240.88 / $240.88	Professional	25	$240.88	$240.88	$240.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.06 / $375.95 / $403.83	Professional		$323.06	$375.95	$403.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.19 / $228.62 / $370.67	Facility		$165.19	$228.62	$370.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $215.74 / $346.31	Professional		$144.47	$215.74	$346.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $250.84 / $286.32 / $359.73	Facility		$250.84	$286.32	$359.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $306.87 / $424.49	Professional		$175.87	$306.87	$424.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $261.41 / $350.62	Professional		$182.31	$261.41	$350.62
United Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $279.39 / $387.63	Professional		$181.40	$279.39	$387.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $264.20 / $264.20	Professional		$264.20	$264.20	$264.20