Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.61 / $1,113.61 / $4,338.00	Facility		$1,113.61	$1,113.61	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,464.93 / $1,915.19 / $2,948.97	Facility		$1,464.93	$1,915.19	$2,948.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,691.83 / $2,551.29 / $3,496.63	Facility		$1,691.83	$2,551.29	$3,496.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,395.59 / $1,890.01 / $2,223.40	Professional		$1,395.59	$1,890.01	$2,223.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $418.36 / $418.36 / $418.36	Professional	80	$418.36	$418.36	$418.36
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $418.36 / $418.36 / $418.36	Professional	AS	$418.36	$418.36	$418.36
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