Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $4,365.16	Facility		$1,096.48	$1,096.48	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $3,162.28	Facility		$977.24	$1,548.82	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $2,884.03	Professional		$2,630.27	$2,691.53	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,344.23	Professional		$1,348.96	$1,949.84	$2,344.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	80	$457.09	$457.09	$457.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	AS	$457.09	$457.09	$457.09
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