Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,365.16 / $12,022.64	Facility		$1,288.25	$4,365.16	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,466.84	Facility		$1,548.82	$2,041.74	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $3,019.95	Professional		$2,754.23	$2,884.03	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,570.40	Professional		$1,513.56	$2,238.72	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	AS	$501.19	$501.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84