Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,365.16 / $8,128.31	Facility		$912.01	$4,365.16	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,570.40	Facility		$1,071.52	$1,513.56	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,949.84 / $2,089.30	Professional		$1,905.46	$1,949.84	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,737.80	Professional		$1,122.02	$1,548.82	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	80	$354.81	$354.81	$354.81
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	AS	$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32