Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.73 / $1,456.73 / $4,338.00	Facility		$1,456.73	$1,456.73	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,866.07 / $2,405.75 / $3,853.88	Facility		$1,866.07	$2,405.75	$3,853.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,202.13 / $3,356.44 / $4,675.04	Facility		$2,202.13	$3,356.44	$4,675.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,853.52 / $2,547.69 / $2,997.09	Professional		$1,853.52	$2,547.69	$2,997.09
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $556.19 / $556.19 / $556.19	Professional	80	$556.19	$556.19	$556.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $556.19 / $556.19 / $556.19	Professional	AS	$556.19	$556.19	$556.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00