Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,365.16	Facility		$2,041.74	$2,041.74	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $5,623.41	Facility		$2,630.27	$3,090.30	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,786.30 / $5,128.61	Professional		$4,570.88	$4,786.30	$5,128.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $4,168.69	Professional		$2,884.03	$3,715.35	$4,168.69
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $831.76 / $831.76 / $831.76	Professional	80	$831.76	$831.76	$831.76
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $831.76 / $831.76 / $831.76	Professional	AS	$831.76	$831.76	$831.76
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