Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.71 / $231.85 / $433.82	Facility		$24.71	$231.85	$433.82
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $34.75 / $96.97 / $374.71	Facility	CQ	$34.75	$96.97	$374.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $20.26 / $41.89	Professional		$13.00	$20.26	$41.89
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $24.40 / $29.07 / $29.07	Professional	CO	$24.40	$29.07	$29.07
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.54 / $22.75 / $59.13	Professional	CQ	$17.54	$22.75	$59.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $29.59 / $102.55	Professional		$23.67	$29.59	$102.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $39.39 / $114.40	Facility		$21.15	$39.39	$114.40
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $53.31 / $108.09 / $108.09	Facility	CQ	$53.31	$108.09	$108.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $33.04 / $63.03	Professional		$25.75	$33.04	$63.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $41.94 / $46.93	Facility		$30.98	$41.94	$46.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $39.63 / $59.87	Professional		$32.72	$39.63	$59.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $43.44 / $54.34	Professional		$30.24	$43.44	$54.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $25.93 / $62.79	Professional		$24.26	$25.93	$62.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $38.10 / $44.80	Professional		$35.00	$38.10	$44.80