Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.65 / $1,173.65 / $4,338.00	Facility		$1,173.65	$1,173.65	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,508.40 / $1,983.47 / $3,131.44	Facility		$1,508.40	$1,983.47	$3,131.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,800.27 / $2,704.00 / $3,688.51	Facility		$1,800.27	$2,704.00	$3,688.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,473.05 / $2,004.01 / $2,345.01	Professional		$1,473.05	$2,004.01	$2,345.01
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $443.84 / $443.84 / $443.84	Professional	80	$443.84	$443.84	$443.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $443.84 / $443.84 / $443.84	Professional	AS	$443.84	$443.84	$443.84
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