Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.75 / $874.75 / $874.75	Facility		$874.75	$874.75	$874.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.27 / $797.07 / $996.34	Professional		$504.27	$797.07	$996.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,755.72 / $1,755.72 / $1,755.72	Facility		$1,755.72	$1,755.72	$1,755.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $894.25 / $894.25 / $2,194.65	Professional		$894.25	$894.25	$2,194.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $566.41 / $894.25 / $1,196.67	Facility		$566.41	$894.25	$1,196.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $526.72 / $894.25 / $1,189.75	Professional		$526.72	$894.25	$1,189.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $627.66 / $1,057.51 / $1,205.83	Professional		$627.66	$1,057.51	$1,205.83