Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,365.16	Facility		$1,318.26	$1,318.26	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,311.31	Facility		$1,737.80	$2,041.74	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,951.21	Professional		$2,818.38	$2,818.38	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,511.89	Professional		$1,698.24	$2,187.76	$2,511.89
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	80	$512.86	$512.86	$512.86
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	AS	$512.86	$512.86	$512.86
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