Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.31 / $1,024.31 / $4,338.00	Facility		$1,024.31	$1,024.31	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $987.32 / $1,731.08 / $2,949.76	Facility		$987.32	$1,731.08	$2,949.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,661.50 / $2,594.23 / $6,855.77	Facility		$1,661.50	$2,594.23	$6,855.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,190.15 / $1,766.71 / $2,048.73	Professional		$1,190.15	$1,766.71	$2,048.73
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $397.13 / $397.13 / $397.13	Professional	80	$397.13	$397.13	$397.13
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $397.13 / $397.13 / $397.13	Professional	AS	$397.13	$397.13	$397.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00