Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $134.90	Facility		$72.44	$97.72	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $109.65	Professional		$72.44	$89.13	$109.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $104.71 / $104.71	Professional	25	$87.10	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $245.47	Professional		$194.98	$223.87	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $218.78	Facility		$114.82	$134.90	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $190.55	Professional		$79.43	$117.49	$190.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $208.93	Professional		$102.33	$151.36	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $162.18 / $234.42	Professional		$81.28	$162.18	$234.42