Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,219.90 / $1,219.90 / $1,219.90	Facility		$1,219.90	$1,219.90	$1,219.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,244.03 / $1,867.31 / $3,541.65	Facility		$1,244.03	$1,867.31	$3,541.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,025.13 / $3,046.45 / $4,228.68	Facility		$2,025.13	$3,046.45	$4,228.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,483.59 / $2,280.19 / $2,654.88	Professional		$1,483.59	$2,280.19	$2,654.88
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $507.55 / $507.55 / $507.55	Professional	80	$507.55	$507.55	$507.55
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $507.55 / $507.55 / $507.55	Professional	AS	$507.55	$507.55	$507.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00