Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $109.31 / $141.09	Professional		$80.42	$109.31	$141.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $159.88 / $159.88 / $159.88	Professional	25	$159.88	$159.88	$159.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $236.03 / $282.14	Professional		$210.13	$236.03	$282.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $167.69 / $573.72	Facility		$119.39	$167.69	$573.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $215.11 / $249.68	Professional		$159.61	$215.11	$249.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $183.89 / $195.20 / $327.67	Facility		$183.89	$195.20	$327.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $237.80 / $336.95	Professional		$134.37	$237.80	$336.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $154.46 / $232.93	Professional		$143.96	$154.46	$232.93
United Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $202.88 / $249.68	Professional		$158.43	$202.88	$249.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $179.40 / $179.40 / $184.80	Professional		$179.40	$179.40	$184.80