Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.59 / $1,007.59 / $4,338.00	Facility		$1,007.59	$1,007.59	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,065.73 / $1,543.68 / $3,078.55	Facility		$1,065.73	$1,543.68	$3,078.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,657.44 / $2,686.83 / $11,505.60	Facility		$1,657.44	$2,686.83	$11,505.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,378.99 / $1,864.76 / $2,191.05	Professional		$1,378.99	$1,864.76	$2,191.05
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $415.28 / $415.28 / $415.28	Professional	80	$415.28	$415.28	$415.28
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $415.28 / $415.28 / $415.28	Professional	AS	$415.28	$415.28	$415.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00