Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $4,365.16	Facility		$1,174.90	$1,174.90	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,235.94	Facility		$1,445.44	$1,862.09	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $2,884.03	Professional		$2,630.27	$2,754.23	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $2,570.40	Professional		$1,445.44	$2,187.76	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	80	$489.78	$489.78	$489.78
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $489.78 / $489.78 / $489.78	Professional	AS	$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26