Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.98 / $20,094.18 / $40,100.44	Facility		$1,093.98	$20,094.18	$40,100.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,463.22 / $1,729.26 / $3,174.54	Facility		$1,463.22	$1,729.26	$3,174.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,209.62 / $8,568.00	Facility		$2,104.00	$3,209.62	$8,568.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.64 / $2,017.03 / $2,372.83	Professional		$1,513.64	$2,017.03	$2,372.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $450.41 / $450.41 / $450.41	Professional	80	$450.41	$450.41	$450.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $450.41 / $450.41 / $450.41	Professional	AS	$450.41	$450.41	$450.41
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