Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $5,623.41	Facility		$1,513.56	$4,365.16	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,168.69	Facility		$1,949.84	$2,570.40	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,467.37 / $3,548.13	Professional		$3,311.31	$3,467.37	$3,548.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $3,162.28	Professional		$1,819.70	$2,691.53	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	80	$602.56	$602.56	$602.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	AS	$602.56	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93