Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.12 / $5,685.00 / $8,969.84	Facility		$1,632.12	$5,685.00	$8,969.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,153.98 / $2,758.28 / $4,393.89	Facility		$2,153.98	$2,758.28	$4,393.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,524.17 / $3,794.77 / $5,154.72	Facility		$2,524.17	$3,794.77	$5,154.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,061.77 / $2,808.17 / $3,270.08	Professional		$2,061.77	$2,808.17	$3,270.08
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $621.95 / $621.95 / $621.95	Professional	80	$621.95	$621.95	$621.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $621.95 / $621.95 / $621.95	Professional	AS	$621.95	$621.95	$621.95
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