Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.44 / $1,112.44 / $4,338.00	Facility		$1,112.44	$1,112.44	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,489.80 / $1,898.34 / $3,065.67	Facility		$1,489.80	$1,898.34	$3,065.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,741.52 / $2,614.37 / $3,705.20	Facility		$1,741.52	$2,614.37	$3,705.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,474.31 / $2,020.26 / $2,361.83	Professional		$1,474.31	$2,020.26	$2,361.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $446.03 / $446.03 / $446.03	Professional	80	$446.03	$446.03	$446.03
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $446.03 / $446.03 / $446.03	Professional	AS	$446.03	$446.03	$446.03
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