Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.72 / $1,146.72 / $4,338.00	Facility		$1,146.72	$1,146.72	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,535.33 / $1,958.60 / $3,117.98	Facility		$1,535.33	$1,958.60	$3,117.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,170.11 / $3,256.27 / $8,250.46	Facility		$2,170.11	$3,256.27	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,516.28 / $2,069.27 / $2,434.28	Professional		$1,516.28	$2,069.27	$2,434.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $458.64 / $458.64 / $458.64	Professional	80	$458.64	$458.64	$458.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $458.64 / $458.64 / $458.64	Professional	AS	$458.64	$458.64	$458.64
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