Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $213.80	Professional		$47.86	$95.50	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $302.00	Professional		$102.33	$141.25	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $758.58	Professional		$85.11	$181.97	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $213.80	Professional		$112.20	$120.23	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $204.17	Professional		$109.65	$114.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $199.53	Professional		$77.62	$128.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $257.04	Professional		$66.07	$123.03	$257.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $239.88	Professional		$97.72	$120.23	$239.88