Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.80 / $1,499.80 / $4,338.00	Facility		$1,499.80	$1,499.80	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.51 / $2,534.66 / $4,046.79	Facility		$1,966.51	$2,534.66	$4,046.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,292.71 / $3,455.82 / $4,912.79	Facility		$2,292.71	$3,455.82	$4,912.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,954.99 / $2,684.01 / $3,155.58	Professional		$1,954.99	$2,684.01	$3,155.58
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $591.84 / $591.84 / $591.84	Professional	80	$591.84	$591.84	$591.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $591.84 / $591.84 / $591.84	Professional	AS	$591.84	$591.84	$591.84
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