Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $302.00	Professional		$147.91	$213.80	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $794.33	Professional		$602.56	$794.33	$794.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $61.66	Professional		$58.88	$58.88	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $89.13	Professional		$58.88	$61.66	$89.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $131.83 / $239.88	Professional		$47.86	$131.83	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $95.50 / $162.18	Professional		$35.48	$95.50	$162.18