Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,623.41 / $22,387.21	Facility		$1,445.44	$5,623.41	$22,387.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,890.45	Facility		$1,905.46	$2,398.83	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,311.31 / $3,311.31	Professional		$3,090.30	$3,311.31	$3,311.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $2,884.03	Professional		$1,737.80	$2,511.89	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $562.34 / $562.34 / $562.34	Professional	80	$562.34	$562.34	$562.34
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $562.34 / $562.34 / $562.34	Professional	AS	$562.34	$562.34	$562.34
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