Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.16 / $1,136.16 / $4,338.00	Facility		$1,136.16	$1,136.16	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,517.65 / $1,935.00 / $3,187.57	Facility		$1,517.65	$1,935.00	$3,187.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,149.38 / $3,267.96 / $8,250.46	Facility		$2,149.38	$3,267.96	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,524.55 / $2,119.46 / $2,442.05	Professional		$1,524.55	$2,119.46	$2,442.05
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $464.31 / $464.31 / $464.31	Professional	80	$464.31	$464.31	$464.31
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $464.31 / $464.31 / $464.31	Professional	AS	$464.31	$464.31	$464.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00