Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.36 / $1,431.36 / $4,338.00	Facility		$1,431.36	$1,431.36	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,877.43 / $2,365.48 / $3,839.87	Facility		$1,877.43	$2,365.48	$3,839.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,172.46 / $3,296.28 / $4,672.93	Facility		$2,172.46	$3,296.28	$4,672.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,857.43 / $2,542.19 / $2,990.62	Professional		$1,857.43	$2,542.19	$2,990.62
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $559.41 / $559.41 / $559.41	Professional	80	$559.41	$559.41	$559.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $559.41 / $559.41 / $559.41	Professional	AS	$559.41	$559.41	$559.41
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