Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.71 / $1,201.71 / $4,338.00	Facility		$1,201.71	$1,201.71	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,577.66 / $2,056.36 / $3,242.85	Facility		$1,577.66	$2,056.36	$3,242.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,227.83 / $3,332.57 / $21,094.33	Facility		$2,227.83	$3,332.57	$21,094.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,554.70 / $2,130.48 / $2,494.44	Professional		$1,554.70	$2,130.48	$2,494.44
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $468.42 / $468.42 / $468.42	Professional	80	$468.42	$468.42	$468.42
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $468.42 / $468.42 / $468.42	Professional	AS	$468.42	$468.42	$468.42
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