Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $62.00 / $115.61	Professional		$20.29	$62.00	$115.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $58.22 / $180.66	Professional		$23.72	$58.22	$180.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $55.44 / $141.61	Facility		$17.87	$55.44	$141.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $99.86 / $527.54	Professional		$63.38	$99.86	$527.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $147.69 / $198.22	Facility		$43.95	$147.69	$198.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $108.71 / $181.04	Professional		$43.33	$108.71	$181.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $94.32 / $155.94	Professional		$29.90	$94.32	$155.94
United Facility/Professional Facility Modifier Low / Median / High Price $31.38 / $31.38 / $31.38	Facility		$31.38	$31.38	$31.38
United Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $89.71 / $137.94	Professional		$67.11	$89.71	$137.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $46.70 / $183.20	Professional		$38.20	$46.70	$183.20