Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,365.16	Facility		$1,380.38	$1,380.38	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $4,073.80	Facility		$1,258.93	$2,089.30	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,548.13 / $3,715.35	Professional		$3,388.44	$3,548.13	$3,715.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,019.95	Professional		$1,819.70	$2,454.71	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	80	$602.56	$602.56	$602.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	AS	$602.56	$602.56	$602.56
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