Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.47 / $1,207.47 / $4,338.00	Facility		$1,207.47	$1,207.47	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,594.71 / $2,073.94 / $3,252.53	Facility		$1,594.71	$2,073.94	$3,252.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,866.21 / $2,808.74 / $3,821.99	Facility		$1,866.21	$2,808.74	$3,821.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,528.32 / $2,080.60 / $2,414.88	Professional		$1,528.32	$2,080.60	$2,414.88
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $460.83 / $460.83 / $460.83	Professional	80	$460.83	$460.83	$460.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $460.83 / $460.83 / $460.83	Professional	AS	$460.83	$460.83	$460.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00