Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.27 / $1,363.27 / $4,338.00	Facility		$1,363.27	$1,363.27	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,825.94 / $2,331.52 / $3,807.13	Facility		$1,825.94	$2,331.52	$3,807.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,147.59 / $3,212.83 / $4,585.35	Facility		$2,147.59	$3,212.83	$4,585.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,828.12 / $2,533.73 / $2,940.16	Professional		$1,828.12	$2,533.73	$2,940.16
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $555.92 / $555.92 / $555.92	Professional	80	$555.92	$555.92	$555.92
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $555.92 / $555.92 / $555.92	Professional	AS	$555.92	$555.92	$555.92
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