Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $4,365.16	Facility		$1,202.26	$1,202.26	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,548.13	Facility		$1,096.48	$1,862.09	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,235.94	Professional		$2,884.03	$3,019.95	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,570.40	Professional		$1,513.56	$2,137.96	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	80	$512.86	$512.86	$512.86
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	AS	$512.86	$512.86	$512.86
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