Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $4,365.16	Facility		$1,348.96	$1,348.96	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,467.37	Facility		$1,778.28	$2,137.96	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,090.30	Professional		$2,884.03	$2,884.03	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,570.40	Professional		$1,737.80	$2,344.23	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	80	$524.81	$524.81	$524.81
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	AS	$524.81	$524.81	$524.81
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