Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,090.30	Professional		$2,454.71	$2,454.71	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $4,265.80	Facility		$1,412.54	$1,949.84	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $11,748.98	Professional		$630.96	$1,202.26	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,290.87	Professional		$1,905.46	$2,290.87	$2,290.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,884.03	Professional		$1,905.46	$1,905.46	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,089.30	Professional		$1,318.26	$1,584.89	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $2,187.76	Professional		$630.96	$1,071.52	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74