Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.11 / $1,117.11 / $3,511.00	Facility		$1,117.11	$1,117.11	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $765.12 / $1,666.85 / $2,934.16	Facility		$765.12	$1,666.85	$2,934.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,693.66 / $2,777.31 / $20,086.25	Facility		$1,693.66	$2,777.31	$20,086.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,221.13 / $1,894.41 / $2,228.57	Professional		$1,221.13	$1,894.41	$2,228.57
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $415.28 / $415.28 / $415.28	Professional	80	$415.28	$415.28	$415.28
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $415.28 / $415.28 / $415.28	Professional	AS	$415.28	$415.28	$415.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00