Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.43 / $14,352.58 / $24,677.99	Professional		$1,430.43	$14,352.58	$24,677.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $920.95 / $6,571.00 / $24,848.57	Facility		$920.95	$6,571.00	$24,848.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $13,010.42 / $22,768.24 / $64,091.60	Professional		$13,010.42	$22,768.24	$64,091.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,629.88 / $20,746.81 / $27,497.93	Facility		$1,629.88	$20,746.81	$27,497.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,469.43 / $18,158.50 / $27,497.93	Professional		$1,469.43	$18,158.50	$27,497.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,110.25 / $13,073.33 / $17,962.41	Professional		$1,110.25	$13,073.33	$17,962.41
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $4,445.91 / $4,445.91 / $4,445.91	Professional	80	$4,445.91	$4,445.91	$4,445.91
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $4,445.91 / $4,445.91 / $4,445.91	Professional	AS	$4,445.91	$4,445.91	$4,445.91
United Facility/Professional Professional Modifier Low / Median / High Price $9,882.32 / $18,258.16 / $32,372.17	Professional		$9,882.32	$18,258.16	$32,372.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,347.20 / $1,648.30 / $20,369.20	Professional		$1,347.20	$1,648.30	$20,369.20