Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Facility		$26.88	$26.88	$26.88
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $112.57 / $112.57 / $123.12	Facility	CQ	$112.57	$112.57	$123.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.03 / $30.67	Professional		$14.40	$19.03	$30.67
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.73 / $19.79 / $19.79	Professional	CQ	$19.73	$19.79	$19.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $31.35 / $92.55	Professional		$25.08	$31.35	$92.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $35.36 / $110.77	Facility		$20.94	$35.36	$110.77
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 $24.22 / $28.49 / $71.23	Professional		$24.22	$28.49	$71.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $44.34 / $50.64	Facility		$33.70	$44.34	$50.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $37.26 / $58.29	Professional		$31.00	$37.26	$58.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $45.70 / $57.57	Professional		$30.15	$45.70	$57.57
United Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $27.52 / $55.04	Professional		$24.22	$27.52	$55.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $40.29 / $47.40	Professional		$37.10	$40.29	$47.40