Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.23 / $1,863.23 / $1,863.23	Facility		$1,863.23	$1,863.23	$1,863.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,792.17 / $2,910.94 / $4,851.57	Facility		$1,792.17	$2,910.94	$4,851.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,224.00 / $4,131.26 / $5,635.48	Facility		$3,224.00	$4,131.26	$5,635.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,309.62 / $3,088.93 / $3,521.72	Professional		$2,309.62	$3,088.93	$3,521.72
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $688.09 / $688.09 / $688.09	Professional	80	$688.09	$688.09	$688.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $688.09 / $688.09 / $688.09	Professional	AS	$688.09	$688.09	$688.09
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