Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,365.16 / $11,748.98	Facility		$1,000.00	$4,365.16	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,513.56 / $3,019.95	Facility		$891.25	$1,513.56	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $2,630.27	Professional		$2,344.23	$2,398.83	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,089.30	Professional		$1,288.25	$1,737.80	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $398.11 / $398.11 / $398.11	Professional	80	$398.11	$398.11	$398.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Professional	AS	$398.11	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84