Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,365.16	Facility		$1,380.38	$1,380.38	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,548.13	Facility		$1,778.28	$2,187.76	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,090.30	Professional		$2,951.21	$2,951.21	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,630.27	Professional		$1,737.80	$2,344.23	$2,630.27
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