Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Professional		$2,754.23	$2,754.23	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $5,011.87	Facility		$1,584.89	$2,137.96	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $13,489.63	Professional		$758.58	$1,348.96	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $2,511.89	Professional		$2,089.30	$2,511.89	$2,511.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,388.44	Professional		$2,089.30	$2,089.30	$3,388.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $2,511.89	Professional		$1,584.89	$1,905.46	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,398.83	Professional		$758.58	$1,258.93	$2,398.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72