Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.49 / $1,557.49 / $3,511.00	Facility		$1,557.49	$1,557.49	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,054.67 / $2,632.16 / $4,143.56	Facility		$2,054.67	$2,632.16	$4,143.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,404.53 / $3,589.32 / $4,916.95	Facility		$2,404.53	$3,589.32	$4,916.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,964.62 / $2,677.04 / $3,120.00	Professional		$1,964.62	$2,677.04	$3,120.00
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $592.87 / $592.87 / $592.87	Professional	80	$592.87	$592.87	$592.87
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $592.87 / $592.87 / $592.87	Professional	AS	$592.87	$592.87	$592.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00