Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $13.03 / $121.05	Facility		$13.03	$13.03	$121.05
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $75.00 / $79.48 / $79.48	Facility	CQ	$75.00	$79.48	$79.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $13.98 / $23.11	Professional		$8.48	$13.98	$23.11
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.76 / $33.56 / $33.56	Professional	CQ	$19.76	$33.56	$33.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $15.15 / $102.55	Professional		$12.12	$15.15	$102.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $16.76 / $92.14	Facility		$9.92	$16.76	$92.14
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $26.96 / $55.33 / $55.33	Facility	CQ	$26.96	$55.33	$55.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.11 / $26.43	Professional		$10.80	$13.11	$26.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $20.02 / $23.85	Facility		$16.27	$20.02	$23.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $17.80 / $26.74	Professional		$14.11	$17.80	$26.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $20.74 / $27.82	Professional		$14.63	$20.74	$27.82
United Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $12.58 / $26.23	Professional		$10.80	$12.58	$26.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.50 / $22.90	Professional		$17.89	$19.50	$22.90