Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.27 / $2,031.38 / $30,891.32	Professional		$1,466.27	$2,031.38	$30,891.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.27 / $7,865.00 / $31,211.09	Facility		$946.27	$7,865.00	$31,211.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $17,031.31 / $39,722.83 / $80,423.03	Professional		$17,031.31	$39,722.83	$80,423.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,677.23 / $22,043.37 / $35,317.83	Facility		$1,677.23	$22,043.37	$35,317.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,518.19 / $20,510.03 / $35,419.37	Professional		$1,518.19	$20,510.03	$35,419.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,147.08 / $16,835.49 / $24,239.07	Professional		$1,147.08	$16,835.49	$24,239.07
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $5,725.33 / $5,725.33 / $5,725.33	Professional	80	$5,725.33	$5,725.33	$5,725.33
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $5,725.33 / $5,725.33 / $5,725.33	Professional	AS	$5,725.33	$5,725.33	$5,725.33
United Facility/Professional Professional Modifier Low / Median / High Price $16,367.46 / $26,679.51 / $41,501.46	Professional		$16,367.46	$26,679.51	$41,501.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,391.90 / $1,703.00 / $25,468.40	Professional		$1,391.90	$1,703.00	$25,468.40