Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,365.16	Facility		$2,818.38	$2,818.38	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $7,244.36	Facility		$2,884.03	$3,890.45	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,309.57	Professional		$6,025.60	$6,025.60	$6,309.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,677.35 / $5,370.32	Professional		$3,388.44	$4,677.35	$5,370.32
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional	80	$1,071.52	$1,071.52	$1,071.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional	AS	$1,071.52	$1,071.52	$1,071.52
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