Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Facility		$1,995.26	$1,995.26	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $5,623.41	Facility		$2,454.71	$2,884.03	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,677.35 / $4,897.79	Professional		$4,570.88	$4,677.35	$4,897.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $4,365.16	Professional		$2,511.89	$3,801.89	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $851.14 / $851.14 / $851.14	Professional	80	$851.14	$851.14	$851.14
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $851.14 / $851.14 / $851.14	Professional	AS	$851.14	$851.14	$851.14
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