Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,365.16	Facility		$2,041.74	$2,041.74	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $5,128.61	Facility		$1,513.56	$2,691.53	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,466.84	Professional		$4,365.16	$4,365.16	$4,466.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $3,890.45	Professional		$2,344.23	$3,388.44	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	80	$776.25	$776.25	$776.25
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	AS	$776.25	$776.25	$776.25
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