Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.17 / $1,266.17 / $4,338.00	Facility		$1,266.17	$1,266.17	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,664.48 / $2,139.83 / $3,359.27	Facility		$1,664.48	$2,139.83	$3,359.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,929.06 / $3,140.04 / $10,577.49	Facility		$1,929.06	$3,140.04	$10,577.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,582.33 / $2,149.01 / $2,528.09	Professional		$1,582.33	$2,149.01	$2,528.09
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $475.76 / $475.76 / $475.76	Professional	80	$475.76	$475.76	$475.76
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $475.76 / $475.76 / $475.76	Professional	AS	$475.76	$475.76	$475.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00