Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,365.16 / $4,897.79	Facility		$870.96	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,511.89	Facility		$1,174.90	$1,380.38	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $2,187.76	Professional		$1,995.26	$2,137.96	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $1,862.09	Professional		$1,148.15	$1,584.89	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	80	$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53