Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $126.53 / $140.36	Facility		$30.89	$126.53	$140.36
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $116.28 / $116.28 / $116.28	Facility	CQ	$116.28	$116.28	$116.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $22.60 / $46.75	Professional		$14.40	$22.60	$46.75
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $47.81 / $47.81 / $47.81	Professional	CO	$47.81	$47.81	$47.81
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $34.69 / $44.37 / $111.80	Professional	CQ	$34.69	$44.37	$111.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $34.86 / $102.55	Professional		$27.90	$34.86	$102.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $40.65 / $102.18	Facility		$24.06	$40.65	$102.18
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $62.75 / $127.37 / $127.37	Facility	CQ	$62.75	$127.37	$127.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $40.99 / $82.92	Professional		$28.92	$40.99	$82.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $51.68 / $58.30	Facility		$39.11	$51.68	$58.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $44.36 / $68.41	Professional		$36.46	$44.36	$68.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $52.86 / $64.04	Professional		$36.17	$52.86	$64.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $32.07 / $64.13	Professional		$28.92	$32.07	$64.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $44.90 / $52.80	Professional		$41.20	$44.90	$52.80