Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,079.46 / $18,197.01	Facility		$2,089.30	$7,079.46	$18,197.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,570.40	Facility		$1,174.90	$1,380.38	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $2,238.72	Professional		$2,041.74	$2,137.96	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,905.46	Professional		$1,174.90	$1,621.81	$1,905.46
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
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	AS	$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32