Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.27 / $1,463.27 / $4,338.00	Facility		$1,463.27	$1,463.27	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,812.27 / $2,386.41 / $3,871.40	Facility		$1,812.27	$2,386.41	$3,871.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,198.21 / $3,370.91 / $4,739.68	Facility		$2,198.21	$3,370.91	$4,739.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,877.27 / $2,588.48 / $3,048.19	Professional		$1,877.27	$2,588.48	$3,048.19
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $564.67 / $564.67 / $564.67	Professional	80	$564.67	$564.67	$564.67
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $564.67 / $564.67 / $564.67	Professional	AS	$564.67	$564.67	$564.67
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