Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $193.50 / $389.36	Facility		$34.03	$193.50	$389.36
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $114.51 / $114.51 / $223.94	Facility	CO	$114.51	$114.51	$223.94
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $117.14 / $117.88 / $128.10	Facility	CQ	$117.14	$117.88	$128.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.73 / $49.07	Professional		$14.40	$23.73	$49.07
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $104.56 / $104.56 / $104.56	Professional	CO	$104.56	$104.56	$104.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $31.16 / $32.90 / $71.56	Professional	CQ	$31.16	$32.90	$71.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $38.04 / $102.55	Professional		$30.43	$38.04	$102.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $43.77 / $125.00	Facility		$26.22	$43.77	$125.00
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $65.76 / $137.66 / $137.66	Facility	CO	$65.76	$137.66	$137.66
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $65.76 / $137.66 / $137.66	Facility	CQ	$65.76	$137.66	$137.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $47.00 / $82.52	Professional		$30.01	$47.00	$82.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $54.06 / $65.91	Facility		$43.77	$54.06	$65.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $47.00 / $71.14	Professional		$38.34	$47.00	$71.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $56.56 / $69.22	Professional		$37.93	$56.56	$69.22
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $35.31 / $73.47	Professional		$30.01	$35.31	$73.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $48.50 / $57.00	Professional		$44.60	$48.50	$57.00