Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.42 / $1,300.42 / $1,300.42	Facility		$1,300.42	$1,300.42	$1,300.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,528.18 / $1,806.04 / $3,523.78	Facility		$1,528.18	$1,806.04	$3,523.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,003.52 / $3,166.95 / $4,111.88	Facility		$2,003.52	$3,166.95	$4,111.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,677.61 / $2,258.25 / $2,574.66	Professional		$1,677.61	$2,258.25	$2,574.66
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $499.18 / $499.18 / $499.18	Professional	80	$499.18	$499.18	$499.18
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $499.18 / $499.18 / $499.18	Professional	AS	$499.18	$499.18	$499.18
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