Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.19 / $1,245.19 / $4,338.00	Facility		$1,245.19	$1,245.19	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,516.76 / $2,012.15 / $3,369.97	Facility		$1,516.76	$2,012.15	$3,369.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,928.16 / $3,150.55 / $4,032.63	Facility		$1,928.16	$3,150.55	$4,032.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,599.49 / $2,166.06 / $2,548.14	Professional		$1,599.49	$2,166.06	$2,548.14
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $479.88 / $479.88 / $479.88	Professional	80	$479.88	$479.88	$479.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $479.88 / $479.88 / $479.88	Professional	AS	$479.88	$479.88	$479.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00