Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,365.16	Facility		$1,621.81	$1,621.81	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $4,786.30	Facility		$1,479.11	$2,454.71	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $4,365.16	Professional		$3,890.45	$4,168.69	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,467.37	Professional		$2,089.30	$2,884.03	$3,467.37
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	80	$691.83	$691.83	$691.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	AS	$691.83	$691.83	$691.83
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