Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.46 / $1,463.63 / $22,376.73	Professional		$1,056.46	$1,463.63	$22,376.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $682.25 / $6,571.00 / $22,633.85	Facility		$682.25	$6,571.00	$22,633.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,544.75 / $25,624.14 / $58,323.36	Professional		$10,544.75	$25,624.14	$58,323.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,210.08 / $13,331.19 / $23,840.13	Facility		$1,210.08	$13,331.19	$23,840.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,101.15 / $14,668.75 / $23,840.13	Professional		$1,101.15	$14,668.75	$23,840.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $832.00 / $11,240.20 / $15,188.24	Professional		$832.00	$11,240.20	$15,188.24
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $3,854.08 / $3,854.08 / $3,854.08	Professional	AS	$3,854.08	$3,854.08	$3,854.08
United Facility/Professional Professional Modifier Low / Median / High Price $10,544.75 / $25,624.14 / $28,659.01	Professional		$10,544.75	$25,624.14	$28,659.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,009.50 / $1,235.20 / $18,455.50	Professional		$1,009.50	$1,235.20	$18,455.50