Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $4,338.00	Facility		$1,094.01	$1,094.01	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,365.22 / $1,620.71 / $3,094.26	Facility		$1,365.22	$1,620.71	$3,094.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $3,142.29 / $5,062.45	Facility		$1,819.00	$3,142.29	$5,062.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.57 / $1,995.31 / $2,310.08	Professional		$1,318.57	$1,995.31	$2,310.08
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $445.39 / $445.39 / $445.39	Professional	80	$445.39	$445.39	$445.39
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $445.39 / $445.39 / $445.39	Professional	AS	$445.39	$445.39	$445.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00