Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.06 / $2,159.06 / $3,511.00	Facility		$2,159.06	$2,159.06	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,686.60 / $3,439.16 / $6,084.35	Facility		$2,686.60	$3,439.16	$6,084.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,486.03 / $5,215.20 / $7,004.72	Facility		$3,486.03	$5,215.20	$7,004.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,837.22 / $3,846.15 / $4,399.57	Professional		$2,837.22	$3,846.15	$4,399.57
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $843.04 / $843.04 / $843.04	Professional	80	$843.04	$843.04	$843.04
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $843.04 / $843.04 / $843.04	Professional	AS	$843.04	$843.04	$843.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00