Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.83 / $233.64 / $292.00	Facility		$129.83	$233.64	$292.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $123.88 / $130.06	Professional		$97.00	$123.88	$130.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.01 / $120.01 / $127.54	Professional	25	$120.01	$120.01	$127.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $146.58 / $184.31	Professional		$116.36	$146.58	$184.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.36 / $219.41 / $283.00	Facility		$124.36	$219.41	$283.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $202.20 / $818.99	Professional		$120.84	$202.20	$818.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.01 / $217.85 / $304.12	Facility		$162.01	$217.85	$304.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $183.10 / $235.17	Professional		$153.80	$183.10	$235.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $193.49 / $252.94	Professional		$141.25	$193.49	$252.94
United Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $193.60 / $227.76	Professional		$104.12	$193.60	$227.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $190.60 / $190.60	Professional		$185.10	$190.60	$190.60