Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $199.53	Professional		$54.95	$89.13	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $275.42	Professional		$173.78	$218.78	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $173.78	Professional		$87.10	$102.33	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $177.83	Professional		$61.66	$144.54	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $204.17	Professional		$89.13	$114.82	$204.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $199.53	Professional		$169.82	$199.53	$199.53