Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $90.90 / $105.64	Professional		$86.51	$90.90	$105.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $146.25 / $182.81	Professional		$122.02	$146.25	$182.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.43 / $106.94 / $176.49	Facility		$104.43	$106.94	$176.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $53.35 / $636.12	Professional		$42.61	$53.35	$636.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $123.00 / $208.53	Facility		$117.63	$123.00	$208.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $96.34 / $106.51	Professional		$91.16	$96.34	$106.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $106.94 / $134.47	Professional		$89.20	$106.94	$134.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $42.61 / $88.92	Professional		$41.77	$42.61	$88.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $96.25 / $96.25	Professional		$96.25	$96.25	$96.25