Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $4,365.16	Facility		$1,412.54	$1,412.54	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $4,168.69	Facility		$1,288.25	$2,041.74	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $3,801.89	Professional		$3,467.37	$3,630.78	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,090.30	Professional		$1,819.70	$2,570.40	$3,090.30
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	80	$616.60	$616.60	$616.60
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	AS	$616.60	$616.60	$616.60
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