Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $208.93	Professional		$54.95	$67.61	$208.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.88 / $112.20 / $288.40	Professional	25	$58.88	$112.20	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $162.18	Professional		$60.26	$125.89	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $83.18 / $144.54	Facility		$52.48	$83.18	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $457.09	Professional		$67.61	$114.82	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $144.54	Professional		$102.33	$141.25	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Professional		$112.20	$112.20	$158.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $154.88	Professional		$83.18	$114.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $144.54	Professional		$63.10	$95.50	$144.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $104.71	Professional		$81.28	$102.33	$104.71