Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.88 / $1,246.88 / $4,338.00	Facility		$1,246.88	$1,246.88	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,641.40 / $2,064.30 / $3,373.51	Facility		$1,641.40	$2,064.30	$3,373.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,918.50 / $2,895.17 / $4,045.15	Facility		$1,918.50	$2,895.17	$4,045.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,616.24 / $2,204.17 / $2,573.37	Professional		$1,616.24	$2,204.17	$2,573.37
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $485.54 / $485.54 / $485.54	Professional	80	$485.54	$485.54	$485.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $485.54 / $485.54 / $485.54	Professional	AS	$485.54	$485.54	$485.54
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