Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $75.86	Facility		$69.18	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $181.97	Professional		$57.54	$75.86	$181.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.26 / $77.62 / $218.78	Professional	25	$60.26	$77.62	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $186.21	Professional		$66.07	$138.04	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $154.88	Facility		$56.23	$91.20	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $524.81	Professional		$74.13	$134.90	$524.81
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	25	$154.88	$154.88	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $165.96	Professional		$109.65	$151.36	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $181.97	Professional		$120.23	$128.82	$181.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $165.96	Professional		$87.10	$123.03	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $158.49	Professional		$69.18	$109.65	$158.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $120.23	Professional		$89.13	$109.65	$120.23