Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,365.16	Facility		$2,398.83	$2,398.83	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $6,025.60	Facility		$2,818.38	$3,801.89	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,370.32	Professional		$5,128.61	$5,128.61	$5,370.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $4,570.88	Professional		$2,951.21	$3,981.07	$4,570.88
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	80	$912.01	$912.01	$912.01
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	AS	$912.01	$912.01	$912.01
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