Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.85 / $1,113.85 / $4,338.00	Facility		$1,113.85	$1,113.85	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,168.58 / $2,066.42 / $3,363.48	Facility		$1,168.58	$2,066.42	$3,363.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,814.56 / $2,930.45 / $6,855.77	Facility		$1,814.56	$2,930.45	$6,855.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,467.11 / $1,994.73 / $2,315.90	Professional		$1,467.11	$1,994.73	$2,315.90
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $438.31 / $438.31 / $438.31	Professional	80	$438.31	$438.31	$438.31
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $438.31 / $438.31 / $438.31	Professional	AS	$438.31	$438.31	$438.31
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