Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $119.98 / $141.15	Facility		$105.86	$119.98	$141.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $126.09 / $178.03	Professional		$110.84	$126.09	$178.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.17 / $317.89 / $341.46	Professional		$273.17	$317.89	$341.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $193.03 / $312.95	Facility		$142.93	$193.03	$312.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $175.77 / $282.11	Professional		$118.18	$175.77	$282.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $203.60 / $237.77 / $302.82	Facility		$203.60	$237.77	$302.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $248.84 / $343.52	Professional		$142.61	$248.84	$343.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $150.83 / $217.93 / $296.93	Professional		$150.83	$217.93	$296.93
United Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $224.80 / $282.11	Professional		$118.18	$224.80	$282.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.80 / $223.80 / $223.80	Professional		$223.80	$223.80	$223.80