Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $16,218.10 / $22,387.21	Facility		$4,365.16	$16,218.10	$22,387.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $5,370.32	Facility		$1,174.90	$1,584.89	$5,370.32
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 $1,148.15 / $1,659.59 / $1,905.46	Professional		$1,148.15	$1,659.59	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	80	$371.54	$371.54	$371.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	AS	$371.54	$371.54	$371.54
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