Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.48 / $1,274.42 / $8,463.95	Professional		$1,003.48	$1,274.42	$8,463.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $648.46 / $2,802.79 / $8,527.59	Facility		$648.46	$2,802.79	$8,527.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,487.08 / $10,625.24 / $23,107.71	Professional		$5,487.08	$10,625.24	$23,107.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,150.28 / $7,327.44 / $10,016.65	Facility		$1,150.28	$7,327.44	$10,016.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,045.84 / $6,301.98 / $9,444.04	Professional		$1,045.84	$6,301.98	$9,444.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $790.21 / $4,761.58 / $7,584.15	Professional		$790.21	$4,761.58	$7,584.15
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,529.71 / $1,529.71 / $1,529.71	Professional	80	$1,529.71	$1,529.71	$1,529.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,529.71 / $1,529.71 / $1,529.71	Professional	AS	$1,529.71	$1,529.71	$1,529.71
United Facility/Professional Professional Modifier Low / Median / High Price $4,514.28 / $7,136.35 / $11,100.99	Professional		$4,514.28	$7,136.35	$11,100.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $958.80 / $1,173.20 / $7,069.20	Professional		$958.80	$1,173.20	$7,069.20