Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $4,365.16	Facility		$1,023.29	$1,023.29	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,584.89 / $3,019.95	Facility		$933.25	$1,584.89	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $2,754.23	Professional		$2,511.89	$2,570.40	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,238.72	Professional		$1,412.54	$1,905.46	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	80	$446.68	$446.68	$446.68
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	AS	$446.68	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26