Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $12,589.25 / $24,547.09	Facility		$5,623.41	$12,589.25	$24,547.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $16,982.44	Facility		$1,096.48	$2,290.87	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,041.74	Professional		$1,862.09	$1,995.26	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,778.28	Professional		$1,202.26	$1,513.56	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	80	$338.84	$338.84	$338.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	AS	$338.84	$338.84	$338.84
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