Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.83 / $98.44 / $110.41	Facility		$73.83	$98.44	$110.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $89.07 / $134.94	Professional		$73.83	$89.07	$134.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $101.95 / $104.18	Professional	25	$20.57	$101.95	$104.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $223.73 / $240.32	Professional		$192.25	$223.73	$240.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $135.09 / $219.80	Facility		$113.67	$135.09	$219.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $118.26 / $189.88	Professional		$80.78	$118.26	$189.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $161.84 / $212.42	Facility		$136.88	$161.84	$212.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $168.91 / $231.57	Professional		$95.98	$168.91	$231.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $147.15 / $208.30	Professional		$101.46	$147.15	$208.30
United Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $160.28 / $235.23	Professional		$80.78	$160.28	$235.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Professional		$157.00	$157.00	$157.00