Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $254.10 / $377.90	Facility		$49.12	$254.10	$377.90
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $227.68 / $227.68 / $374.54	Facility	CO	$227.68	$227.68	$374.54
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $158.78 / $364.10 / $946.90	Facility	CQ	$158.78	$364.10	$946.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $21.53 / $51.45	Professional		$12.00	$21.53	$51.45
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $24.95 / $49.81 / $138.94	Professional	CQ	$24.95	$49.81	$138.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $31.35 / $102.55	Professional		$25.08	$31.35	$102.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $49.00 / $131.93	Facility		$22.36	$49.00	$131.93
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CO	$56.39	$114.53	$114.53
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CQ	$56.39	$114.53	$114.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $39.57 / $64.02	Professional		$27.69	$39.57	$64.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $44.70 / $51.22	Facility		$33.70	$44.70	$51.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $42.57 / $64.09	Professional		$34.85	$42.57	$64.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $47.03 / $57.57	Professional		$32.85	$47.03	$57.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $27.88 / $55.69	Professional		$26.36	$27.88	$55.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $40.29 / $47.40	Professional		$37.10	$40.29	$47.40