Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.03 / $14,026.20 / $14,030.55	Facility		$1,368.03	$14,026.20	$14,030.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,517.42 / $2,311.96 / $4,288.21	Facility		$1,517.42	$2,311.96	$4,288.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,301.87 / $3,455.71 / $4,778.28	Facility		$2,301.87	$3,455.71	$4,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,919.60 / $2,595.81 / $2,982.21	Professional		$1,919.60	$2,595.81	$2,982.21
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $576.27 / $576.27 / $576.27	Professional	80	$576.27	$576.27	$576.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $576.27 / $576.27 / $576.27	Professional	AS	$576.27	$576.27	$576.27
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