Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,365.16	Facility		$1,348.96	$1,348.96	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,630.78	Facility		$1,584.89	$1,995.26	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,090.30	Professional		$2,951.21	$3,019.95	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,691.53	Professional		$1,659.59	$2,344.23	$2,691.53
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 $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26