Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $5,623.41	Facility		$1,412.54	$4,365.16	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,715.35	Facility		$1,737.80	$2,344.23	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $3,311.31	Professional		$3,019.95	$3,162.28	$3,311.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $2,951.21	Professional		$1,621.81	$2,454.71	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $549.54 / $549.54 / $549.54	Professional	80	$549.54	$549.54	$549.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $549.54 / $549.54 / $549.54	Professional	AS	$549.54	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32