Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $20,417.38 / $50,118.72	Facility		$1,548.82	$20,417.38	$50,118.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $4,786.30	Facility		$1,412.54	$2,570.40	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $4,168.69	Professional		$3,801.89	$3,890.45	$4,168.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,388.44	Professional		$1,949.84	$2,818.38	$3,388.44
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	80	$660.69	$660.69	$660.69
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	AS	$660.69	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32