Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.43 / $1,071.43 / $1,071.43	Facility		$1,071.43	$1,071.43	$1,071.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,121.91 / $1,810.72 / $3,143.00	Facility		$1,121.91	$1,810.72	$3,143.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,777.43 / $2,669.77 / $3,659.30	Facility		$1,777.43	$2,669.77	$3,659.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,331.36 / $1,985.44 / $2,303.61	Professional		$1,331.36	$1,985.44	$2,303.61
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $441.01 / $441.01 / $441.01	Professional	80	$441.01	$441.01	$441.01
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $441.01 / $441.01 / $441.01	Professional	AS	$441.01	$441.01	$441.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00