Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $363.08	Professional		$93.33	$117.49	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $309.03	Professional		$173.78	$245.47	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $891.25	Professional		$100.00	$151.36	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $263.03	Professional		$234.42	$257.04	$263.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $208.93	Professional		$112.20	$165.96	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $288.40	Professional		$102.33	$154.88	$288.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $263.03	Professional		$213.80	$263.03	$263.03