Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $5,623.41	Facility		$2,041.74	$4,365.16	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $5,495.41	Facility		$2,691.53	$3,388.44	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,677.35 / $4,677.35	Professional		$4,365.16	$4,677.35	$4,677.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $4,168.69	Professional		$2,454.71	$3,548.13	$4,168.69
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $812.83 / $812.83 / $812.83	Professional	80	$812.83	$812.83	$812.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $812.83 / $812.83 / $812.83	Professional	AS	$812.83	$812.83	$812.83
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