Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $14,454.40 / $28,183.83	Facility		$5,623.41	$14,454.40	$28,183.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $3,162.28	Facility		$1,479.11	$1,737.80	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $2,754.23	Professional		$2,511.89	$2,691.53	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,398.83	Professional		$1,548.82	$2,041.74	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	80	$467.74	$467.74	$467.74
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	AS	$467.74	$467.74	$467.74
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