Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.75 / $1,605.31 / $5,281.92	Facility		$1,194.75	$1,605.31	$5,281.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,950.47 / $2,640.27 / $4,509.60	Facility		$1,950.47	$2,640.27	$4,509.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,981.03 / $4,508.35 / $21,312.20	Facility		$2,981.03	$4,508.35	$21,312.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,147.64 / $2,913.76 / $3,347.06	Professional		$2,147.64	$2,913.76	$3,347.06
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $639.05 / $639.05 / $639.05	Professional	80	$639.05	$639.05	$639.05
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $639.05 / $639.05 / $639.05	Professional	AS	$639.05	$639.05	$639.05
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