Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $4,365.16	Facility		$1,479.11	$1,479.11	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $4,365.16	Facility		$1,348.96	$2,238.72	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,715.35 / $3,981.07	Professional		$3,630.78	$3,715.35	$3,981.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,162.28	Professional		$1,905.46	$2,630.27	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	80	$630.96	$630.96	$630.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	AS	$630.96	$630.96	$630.96
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