Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $87.93 / $121.71	Professional		$66.52	$87.93	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $129.15 / $178.01	Professional		$76.00	$129.15	$178.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $556.79 / $660.93	Professional		$170.94	$556.79	$660.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $150.13 / $182.46 / $209.04	Professional		$150.13	$182.46	$209.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $128.88 / $190.52	Professional		$100.98	$128.88	$190.52
United Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $229.11 / $251.38	Professional		$100.55	$229.11	$251.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $119.60 / $156.50	Professional		$92.10	$119.60	$156.50