Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $4,365.16	Facility		$1,174.90	$1,174.90	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,467.37	Facility		$1,071.52	$1,621.81	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,162.28	Professional		$2,884.03	$2,951.21	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,570.40	Professional		$1,445.44	$2,137.96	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	AS	$501.19	$501.19	$501.19
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