Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.33 / $1,383.33 / $4,338.00	Facility		$1,383.33	$1,383.33	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,857.08 / $2,356.60 / $3,835.51	Facility		$1,857.08	$2,356.60	$3,835.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,616.36 / $3,950.09 / $8,250.46	Facility		$2,616.36	$3,950.09	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,842.78 / $2,519.23 / $2,932.40	Professional		$1,842.78	$2,519.23	$2,932.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $557.09 / $557.09 / $557.09	Professional	80	$557.09	$557.09	$557.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $557.09 / $557.09 / $557.09	Professional	AS	$557.09	$557.09	$557.09
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