Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,365.16 / $4,897.79	Facility		$1,122.02	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,162.28	Facility		$1,479.11	$1,949.84	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,630.27	Professional		$2,511.89	$2,630.27	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,344.23	Professional		$1,380.38	$1,995.26	$2,344.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	80	$457.09	$457.09	$457.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	AS	$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32