Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $219.52	Professional		$199.56	$199.56	$219.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.17 / $195.17 / $195.17	Professional		$195.17	$195.17	$195.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $170.71 / $170.71	Professional		$170.71	$170.71	$170.71
United Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $219.52	Professional		$199.56	$199.56	$219.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $166.67 / $166.67 / $166.67	Facility		$166.67	$166.67	$166.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $166.67 / $166.67	Professional		$166.67	$166.67	$166.67