Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.82 / $135.44 / $409.46	Facility		$118.82	$135.44	$409.46
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $227.91 / $254.54 / $254.54	Facility	25	$227.91	$254.54	$254.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.66 / $169.75 / $486.00	Professional		$115.66	$169.75	$486.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $216.61 / $240.52 / $495.73	Professional	25	$216.61	$240.52	$495.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.01 / $347.27 / $469.99	Professional		$247.01	$347.27	$469.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.76 / $178.02 / $305.94	Facility		$117.76	$178.02	$305.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $310.30 / $1,291.38	Professional		$178.88	$310.30	$1,291.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $201.36 / $278.95 / $389.37	Facility		$201.36	$278.95	$389.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.10 / $302.20 / $378.87	Professional		$211.10	$302.20	$378.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.36 / $249.55 / $382.28	Professional		$174.36	$249.55	$382.28
United Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $310.30 / $360.17	Professional		$178.88	$310.30	$360.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $202.30 / $303.20	Professional		$167.00	$202.30	$303.20