Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,044.24 / $2,044.24 / $2,044.24	Facility		$2,044.24	$2,044.24	$2,044.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,321.75 / $5,334.45	Facility		$2,000.00	$3,321.75	$5,334.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,474.00 / $4,763.71 / $6,189.22	Facility		$3,474.00	$4,763.71	$6,189.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,534.27 / $3,390.78 / $3,865.87	Professional		$2,534.27	$3,390.78	$3,865.87
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $754.11 / $754.11 / $754.11	Professional	80	$754.11	$754.11	$754.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $754.11 / $754.11 / $754.11	Professional	AS	$754.11	$754.11	$754.11
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