Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $58.15 / $68.42	Facility		$51.31	$58.15	$68.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $65.53 / $91.64	Professional		$50.21	$65.53	$91.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $70.06 / $76.20	Professional	25	$14.48	$70.06	$76.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $154.34 / $165.79	Professional		$132.63	$154.34	$165.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $93.71 / $152.02	Facility		$79.34	$93.71	$152.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $89.28 / $143.33	Professional		$60.48	$89.28	$143.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $120.75 / $146.75	Facility		$103.26	$120.75	$146.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $128.29 / $174.23	Professional		$72.98	$128.29	$174.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $107.07 / $143.61	Professional		$74.55	$107.07	$143.61
United Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $115.16 / $147.80	Professional		$60.48	$115.16	$147.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $108.20 / $108.20	Professional		$108.20	$108.20	$108.20