Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $12,770.28 / $14,737.65	Facility		$1,038.00	$12,770.28	$14,737.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,388.86 / $1,832.03 / $10,754.05	Facility		$1,388.86	$1,832.03	$10,754.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,961.55 / $2,928.67 / $8,250.46	Facility		$1,961.55	$2,928.67	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,366.27 / $1,871.15 / $2,189.76	Professional		$1,366.27	$1,871.15	$2,189.76
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $411.42 / $411.42 / $411.42	Professional	80	$411.42	$411.42	$411.42
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $411.42 / $411.42 / $411.42	Professional	AS	$411.42	$411.42	$411.42
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