Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.52 / $1,407.52 / $4,338.00	Facility		$1,407.52	$1,407.52	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,740.61 / $2,295.90 / $3,696.81	Facility		$1,740.61	$2,295.90	$3,696.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,113.73 / $3,243.52 / $4,550.95	Facility		$2,113.73	$3,243.52	$4,550.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,629.36 / $2,460.46 / $2,934.99	Professional		$1,629.36	$2,460.46	$2,934.99
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $540.10 / $540.10 / $540.10	Professional	80	$540.10	$540.10	$540.10
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $540.10 / $540.10 / $540.10	Professional	AS	$540.10	$540.10	$540.10
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