Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.58 / $1,456.58 / $4,338.00	Facility		$1,456.58	$1,456.58	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,892.48 / $2,405.65 / $3,853.35	Facility		$1,892.48	$2,405.65	$3,853.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,207.12 / $3,354.85 / $4,676.06	Facility		$2,207.12	$3,354.85	$4,676.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,851.38 / $2,543.84 / $2,992.56	Professional		$1,851.38	$2,543.84	$2,992.56
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $558.51 / $558.51 / $558.51	Professional	80	$558.51	$558.51	$558.51
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $558.51 / $558.51 / $558.51	Professional	AS	$558.51	$558.51	$558.51
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