Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.82 / $174.93 / $291.86	Facility		$118.82	$174.93	$291.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $214.88 / $569.64	Professional		$152.18	$214.88	$569.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $246.91 / $275.76 / $670.17	Professional	25	$246.91	$275.76	$670.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.23 / $424.06 / $636.54	Professional		$335.23	$424.06	$636.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $241.09 / $430.09	Facility		$159.88	$241.09	$430.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.86 / $434.71 / $1,741.13	Professional		$252.86	$434.71	$1,741.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $273.64 / $379.10 / $524.74	Facility		$273.64	$379.10	$524.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $305.56 / $424.28 / $515.45	Professional		$305.56	$424.28	$515.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $337.91 / $518.11	Professional		$242.30	$337.91	$518.11
United Facility/Professional Professional Modifier Low / Median / High Price $252.86 / $434.71 / $623.54	Professional		$252.86	$434.71	$623.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $226.90 / $274.89 / $411.00	Professional		$226.90	$274.89	$411.00