Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $69.27 / $76.41	Facility		$69.27	$69.27	$76.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $73.41 / $203.49	Professional		$36.25	$73.41	$203.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $59.89 / $80.87 / $197.77	Professional	25	$59.89	$80.87	$197.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $146.62 / $183.28	Professional		$92.92	$146.62	$183.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $113.99 / $152.97	Facility		$70.45	$113.99	$152.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $152.86 / $525.69	Professional		$89.05	$152.86	$525.69
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $156.19 / $156.19 / $156.19	Professional	25	$156.19	$156.19	$156.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.92 / $150.13 / $164.28	Facility		$119.92	$150.13	$164.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $145.04 / $162.07	Professional		$108.69	$145.04	$162.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $88.02 / $128.22 / $159.13	Professional		$88.02	$128.22	$159.13
United Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $137.38 / $165.59	Professional		$73.93	$137.38	$165.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $109.20 / $119.90	Professional		$106.00	$109.20	$119.90