Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.74 / $1,015.74 / $1,015.74	Facility		$1,015.74	$1,015.74	$1,015.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $987.97 / $1,591.61 / $2,751.30	Facility		$987.97	$1,591.61	$2,751.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,622.56 / $2,294.09 / $3,128.51	Facility		$1,622.56	$2,294.09	$3,128.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,138.03 / $1,699.36 / $1,937.47	Professional		$1,138.03	$1,699.36	$1,937.47
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $383.23 / $383.23 / $383.23	Professional	80	$383.23	$383.23	$383.23
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $383.23 / $383.23 / $383.23	Professional	AS	$383.23	$383.23	$383.23
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