Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.48 / $3,290.94 / $11,700.00	Facility		$1,050.48	$3,290.94	$11,700.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,271.72 / $1,669.60 / $2,729.61	Facility		$1,271.72	$1,669.60	$2,729.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,575.79 / $2,592.17 / $11,255.89	Facility		$1,575.79	$2,592.17	$11,255.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,194.68 / $1,773.83 / $2,088.19	Professional		$1,194.68	$1,773.83	$2,088.19
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $388.51 / $388.51 / $388.51	Professional	80	$388.51	$388.51	$388.51
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $388.51 / $388.51 / $388.51	Professional	AS	$388.51	$388.51	$388.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00