Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.96 / $1,627.96 / $1,627.96	Facility		$1,627.96	$1,627.96	$1,627.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.37 / $2,780.32 / $4,541.51	Facility		$2,187.37	$2,780.32	$4,541.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,577.13 / $3,862.28 / $5,440.47	Facility		$2,577.13	$3,862.28	$5,440.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,168.94 / $2,985.13 / $3,471.91	Professional		$2,168.94	$2,985.13	$3,471.91
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $658.11 / $658.11 / $658.11	Professional	80	$658.11	$658.11	$658.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $658.11 / $658.11 / $658.11	Professional	AS	$658.11	$658.11	$658.11
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