Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $219.56	Facility		$29.98	$29.98	$219.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.69 / $34.64	Professional		$14.40	$23.69	$34.64
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 $23.34 / $37.57 / $110.09	Facility		$23.34	$37.57	$110.09
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $61.71 / $127.37 / $127.37	Facility	CO	$61.71	$127.37	$127.37
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $61.71 / $127.37 / $127.37	Facility	CQ	$61.71	$127.37	$127.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.10 / $87.75	Professional		$29.84	$35.10	$87.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $49.64 / $56.88	Facility		$37.57	$49.64	$56.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $45.70 / $69.88	Professional		$37.96	$45.70	$69.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $52.44 / $64.04	Professional		$36.58	$52.44	$64.04
United Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $30.24 / $62.19	Professional		$29.36	$30.24	$62.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $44.90 / $52.80	Professional		$41.20	$44.90	$52.80