Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Facility		$1,230.27	$1,230.27	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $3,548.13	Facility		$1,096.48	$1,659.59	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,235.94	Professional		$3,019.95	$3,019.95	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,630.27	Professional		$1,513.56	$2,187.76	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	80	$524.81	$524.81	$524.81
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Professional	AS	$524.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28