Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.47 / $1,001.47 / $4,338.00	Facility		$1,001.47	$1,001.47	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,320.48 / $1,692.48 / $2,711.36	Facility		$1,320.48	$1,692.48	$2,711.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,558.65 / $2,481.57 / $22,534.76	Facility		$1,558.65	$2,481.57	$22,534.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,250.71 / $1,726.68 / $1,980.81	Professional		$1,250.71	$1,726.68	$1,980.81
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $380.40 / $380.40 / $380.40	Professional	80	$380.40	$380.40	$380.40
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $380.40 / $380.40 / $380.40	Professional	AS	$380.40	$380.40	$380.40
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