Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.59 / $1,458.59 / $4,338.00	Facility		$1,458.59	$1,458.59	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,925.90 / $2,465.02 / $4,011.13	Facility		$1,925.90	$2,465.02	$4,011.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,284.17 / $3,369.69 / $4,728.22	Facility		$2,284.17	$3,369.69	$4,728.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,889.26 / $2,602.78 / $2,995.15	Professional		$1,889.26	$2,602.78	$2,995.15
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $572.53 / $572.53 / $572.53	Professional	80	$572.53	$572.53	$572.53
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $572.53 / $572.53 / $572.53	Professional	AS	$572.53	$572.53	$572.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00