Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.19 / $1,040.19 / $3,511.00	Facility		$1,040.19	$1,040.19	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.51 / $1,880.82 / $3,143.00	Facility		$1,108.51	$1,880.82	$3,143.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,737.82 / $2,606.89 / $3,486.21	Facility		$1,737.82	$2,606.89	$3,486.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,388.27 / $1,911.76 / $2,192.34	Professional		$1,388.27	$1,911.76	$2,192.34
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $424.16 / $424.16 / $424.16	Professional	80	$424.16	$424.16	$424.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $424.16 / $424.16 / $424.16	Professional	AS	$424.16	$424.16	$424.16
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