Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,365.16 / $5,623.41	Facility		$1,348.96	$4,365.16	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,890.45	Facility		$1,819.70	$2,398.83	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $3,311.31	Professional		$3,090.30	$3,235.94	$3,311.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $2,951.21	Professional		$1,698.24	$2,511.89	$2,951.21
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $575.44 / $575.44 / $575.44	Professional	80	$575.44	$575.44	$575.44
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $575.44 / $575.44 / $575.44	Professional	AS	$575.44	$575.44	$575.44
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