Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,365.16	Facility		$1,778.28	$1,778.28	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $5,248.07	Facility		$1,621.81	$2,630.27	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $4,786.30	Professional		$4,265.80	$4,466.84	$4,786.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,801.89	Professional		$2,290.87	$3,162.28	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $758.58 / $758.58 / $758.58	Professional	80	$758.58	$758.58	$758.58
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $758.58 / $758.58 / $758.58	Professional	AS	$758.58	$758.58	$758.58
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