Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.82 / $1,142.82 / $1,142.82	Facility		$1,142.82	$1,142.82	$1,142.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,242.74 / $1,908.53 / $3,527.44	Facility		$1,242.74	$1,908.53	$3,527.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,924.37 / $2,887.14 / $3,985.71	Facility		$1,924.37	$2,887.14	$3,985.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,608.11 / $2,174.59 / $2,493.15	Professional		$1,608.11	$2,174.59	$2,493.15
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $481.16 / $481.16 / $481.16	Professional	80	$481.16	$481.16	$481.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $481.16 / $481.16 / $481.16	Professional	AS	$481.16	$481.16	$481.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00