Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,406.09 / $12,472.74 / $23,946.77	Facility		$5,406.09	$12,472.74	$23,946.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,095.57 / $1,857.06 / $17,105.88	Facility		$1,095.57	$1,857.06	$17,105.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,647.00 / $2,387.46 / $8,568.00	Facility		$1,647.00	$2,387.46	$8,568.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,117.07 / $1,505.63 / $1,771.21	Professional		$1,117.07	$1,505.63	$1,771.21
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $332.40 / $332.40 / $332.40	Professional	80	$332.40	$332.40	$332.40
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $332.40 / $332.40 / $332.40	Professional	AS	$332.40	$332.40	$332.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00