Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $4,365.16	Facility		$2,754.23	$2,754.23	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $8,128.31	Facility		$2,511.89	$4,073.80	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,918.31 / $7,413.10	Professional		$6,760.83	$6,918.31	$7,413.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $6,025.60	Professional		$3,548.13	$5,011.87	$6,025.60
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional	80	$1,202.26	$1,202.26	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional	AS	$1,202.26	$1,202.26	$1,202.26
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