Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,623.41 / $6,760.83	Facility		$1,380.38	$5,623.41	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,890.45	Facility		$1,819.70	$2,344.23	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,162.28	Professional		$2,951.21	$3,162.28	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $2,754.23	Professional		$1,659.59	$2,398.83	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	80	$537.03	$537.03	$537.03
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $537.03 / $537.03 / $537.03	Professional	AS	$537.03	$537.03	$537.03
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