Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,372.72 / $3,372.72 / $3,372.72	Facility		$3,372.72	$3,372.72	$3,372.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,251.89 / $5,270.99 / $8,817.73	Facility		$3,251.89	$5,270.99	$8,817.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,509.00 / $7,511.26 / $10,256.27	Facility		$5,509.00	$7,511.26	$10,256.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,184.26 / $5,601.37 / $6,386.20	Professional		$4,184.26	$5,601.37	$6,386.20
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,252.65 / $1,252.65 / $1,252.65	Professional	80	$1,252.65	$1,252.65	$1,252.65
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,252.65 / $1,252.65 / $1,252.65	Professional	AS	$1,252.65	$1,252.65	$1,252.65
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