Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,566.15 / $2,566.15 / $4,338.00	Facility		$2,566.15	$2,566.15	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,195.02 / $4,336.79 / $7,236.60	Facility		$3,195.02	$4,336.79	$7,236.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,184.82 / $6,600.37 / $8,391.68	Facility		$4,184.82	$6,600.37	$8,391.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,236.33 / $4,592.28 / $5,296.17	Professional		$3,236.33	$4,592.28	$5,296.17
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,019.34 / $1,019.34 / $1,019.34	Professional	80	$1,019.34	$1,019.34	$1,019.34
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,019.34 / $1,019.34 / $1,019.34	Professional	AS	$1,019.34	$1,019.34	$1,019.34
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