Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.69 / $1,402.69 / $14,764.68	Facility		$1,402.69	$1,402.69	$14,764.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,807.08 / $2,370.55 / $3,982.82	Facility		$1,807.08	$2,370.55	$3,982.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,316.42 / $3,669.90 / $4,535.28	Facility		$2,316.42	$3,669.90	$4,535.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,831.64 / $2,476.87 / $2,880.00	Professional		$1,831.64	$2,476.87	$2,880.00
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $554.26 / $554.26 / $554.26	Professional	80	$554.26	$554.26	$554.26
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $554.26 / $554.26 / $554.26	Professional	AS	$554.26	$554.26	$554.26
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