Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $10.87	Facility		$10.87	$10.87	$10.87
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $1,900.92 / $1,900.92 / $1,900.92	Facility	CQ	$1,900.92	$1,900.92	$1,900.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.41 / $20.44	Professional		$9.06	$10.41	$20.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $13.88 / $17.34	Professional		$13.88	$13.88	$17.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $14.24 / $20.72	Facility		$10.61	$14.24	$20.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $24.93 / $76.98	Professional		$12.09	$24.93	$76.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $20.48 / $29.64	Facility		$15.51	$20.48	$29.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $22.11 / $32.43	Professional		$14.58	$22.11	$32.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.63 / $24.89	Professional		$15.14	$21.63	$24.89
United Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $24.72 / $29.09	Professional		$13.78	$24.72	$29.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $20.90 / $21.60	Professional		$17.80	$20.90	$21.60