Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.08 / $1,354.08 / $1,354.08	Facility		$1,354.08	$1,354.08	$1,354.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,590.85 / $2,189.33 / $3,671.45	Facility		$1,590.85	$2,189.33	$3,671.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,086.67 / $3,298.18 / $4,285.01	Facility		$2,086.67	$3,298.18	$4,285.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,747.12 / $2,351.31 / $2,680.75	Professional		$1,747.12	$2,351.31	$2,680.75
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $520.16 / $520.16 / $520.16	Professional	80	$520.16	$520.16	$520.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $520.16 / $520.16 / $520.16	Professional	AS	$520.16	$520.16	$520.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00