Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,365.16 / $4,897.79	Facility		$1,202.26	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $3,235.94	Facility		$1,584.89	$2,041.74	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $2,754.23	Professional		$2,570.40	$2,754.23	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,398.83	Professional		$1,513.56	$2,089.30	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	80	$467.74	$467.74	$467.74
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	AS	$467.74	$467.74	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84