Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.94 / $1,299.94 / $4,338.00	Facility		$1,299.94	$1,299.94	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,575.64 / $2,022.49 / $2,796.91	Facility		$1,575.64	$2,022.49	$2,796.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,007.24 / $2,994.20 / $4,216.18	Facility		$2,007.24	$2,994.20	$4,216.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,336.51 / $2,002.51 / $2,685.93	Professional		$1,336.51	$2,002.51	$2,685.93
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $504.71 / $504.71 / $504.71	Professional	80	$504.71	$504.71	$504.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $504.71 / $504.71 / $504.71	Professional	AS	$504.71	$504.71	$504.71
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