Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $151.36	Professional		$28.84	$47.86	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $117.49	Professional		$54.95	$72.44	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $97.72	Facility		$38.02	$61.66	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $93.33 / $363.08	Professional		$32.36	$93.33	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $95.50	Professional		$60.26	$64.57	$95.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $104.71	Professional		$56.23	$77.62	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $95.50	Professional		$21.88	$33.11	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $117.49	Professional		$61.66	$74.13	$117.49