Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.52 / $1,697.86 / $24,178.39	Professional		$1,225.52	$1,697.86	$24,178.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $791.72 / $6,571.00 / $24,433.35	Facility		$791.72	$6,571.00	$24,433.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $12,597.91 / $30,886.60 / $62,975.68	Professional		$12,597.91	$30,886.60	$62,975.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,401.67 / $20,832.84 / $27,485.81	Facility		$1,401.67	$20,832.84	$27,485.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,265.65 / $17,777.16 / $27,485.81	Professional		$1,265.65	$17,777.16	$27,485.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $956.28 / $13,066.14 / $18,206.68	Professional		$956.28	$13,066.14	$18,206.68
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $4,443.47 / $4,443.47 / $4,443.47	Professional	80	$4,443.47	$4,443.47	$4,443.47
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $4,443.47 / $4,443.47 / $4,443.47	Professional	AS	$4,443.47	$4,443.47	$4,443.47
United Facility/Professional Professional Modifier Low / Median / High Price $12,597.91 / $20,744.73 / $32,269.58	Professional		$12,597.91	$20,744.73	$32,269.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,160.30 / $1,419.70 / $19,941.40	Professional		$1,160.30	$1,419.70	$19,941.40