Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,365.16	Facility		$1,621.81	$1,621.81	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,570.88	Facility		$2,187.76	$2,884.03	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,890.45	Professional		$3,715.35	$3,890.45	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $3,467.37	Professional		$2,041.74	$2,951.21	$3,467.37
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	80	$676.08	$676.08	$676.08
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	AS	$676.08	$676.08	$676.08
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