Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.88 / $2,020.88 / $4,338.00	Facility		$2,020.88	$2,020.88	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,665.76 / $3,415.29 / $5,475.69	Facility		$2,665.76	$3,415.29	$5,475.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,128.22 / $4,700.27 / $6,540.65	Facility		$3,128.22	$4,700.27	$6,540.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,611.96 / $3,545.02 / $4,133.04	Professional		$2,611.96	$3,545.02	$4,133.04
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $786.41 / $786.41 / $786.41	Professional	80	$786.41	$786.41	$786.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $786.41 / $786.41 / $786.41	Professional	AS	$786.41	$786.41	$786.41
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