Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.64 / $1,129.64 / $1,129.64	Facility		$1,129.64	$1,129.64	$1,129.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,378.88 / $1,835.44 / $3,129.08	Facility		$1,378.88	$1,835.44	$3,129.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,798.39 / $2,876.46 / $3,672.86	Facility		$1,798.39	$2,876.46	$3,672.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,456.64 / $1,995.31 / $2,326.25	Professional		$1,456.64	$1,995.31	$2,326.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $444.10 / $444.10 / $444.10	Professional	80	$444.10	$444.10	$444.10
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $444.10 / $444.10 / $444.10	Professional	AS	$444.10	$444.10	$444.10
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