Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.30 / $1,019.30 / $1,019.30	Facility		$1,019.30	$1,019.30	$1,019.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.15 / $1,645.06 / $2,781.49	Facility		$1,238.15	$1,645.06	$2,781.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,595.55 / $2,569.77 / $3,265.11	Facility		$1,595.55	$2,569.77	$3,265.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,312.67 / $1,771.35 / $2,059.08	Professional		$1,312.67	$1,771.35	$2,059.08
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $391.85 / $391.85 / $391.85	Professional	80	$391.85	$391.85	$391.85
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $391.85 / $391.85 / $391.85	Professional	AS	$391.85	$391.85	$391.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $11,831.32	Facility		$4,500.00	$4,500.00	$11,831.32