Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,365.16 / $4,897.79	Facility		$1,023.29	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,951.21	Facility		$912.01	$1,513.56	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,511.89 / $2,691.53	Professional		$2,344.23	$2,511.89	$2,691.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,187.76	Professional		$1,096.48	$1,819.70	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $436.52 / $436.52 / $436.52	Professional	80	$436.52	$436.52	$436.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $436.52 / $436.52 / $436.52	Professional	AS	$436.52	$436.52	$436.52
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