Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.39 / $1,015.39 / $4,338.00	Facility		$1,015.39	$1,015.39	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.59 / $1,407.08 / $2,704.46	Facility		$832.59	$1,407.08	$2,704.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,789.63 / $2,368.98 / $3,141.50	Facility		$1,789.63	$2,368.98	$3,141.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,101.98 / $1,584.53 / $1,876.91	Professional		$1,101.98	$1,584.53	$1,876.91
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $352.99 / $352.99 / $352.99	Professional	80	$352.99	$352.99	$352.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00