Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,365.16 / $4,897.79	Facility		$1,202.26	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,388.44	Facility		$1,621.81	$2,137.96	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $2,884.03	Professional		$2,691.53	$2,884.03	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,570.40	Professional		$1,513.56	$2,238.72	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	AS	$501.19	$501.19	$501.19
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