Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,365.16	Facility		$1,862.09	$1,862.09	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $5,370.32	Facility		$2,290.87	$2,691.53	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,466.84 / $4,570.88	Professional		$4,365.16	$4,466.84	$4,570.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $4,073.80	Professional		$2,344.23	$3,548.13	$4,073.80
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $812.83 / $812.83 / $812.83	Professional	80	$812.83	$812.83	$812.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $812.83 / $812.83 / $812.83	Professional	AS	$812.83	$812.83	$812.83
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