Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,403.04 / $2,403.04 / $2,403.04	Facility		$2,403.04	$2,403.04	$2,403.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,316.23 / $3,776.74 / $6,253.05	Facility		$2,316.23	$3,776.74	$6,253.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,147.00 / $5,603.43 / $7,284.18	Facility		$4,147.00	$5,603.43	$7,284.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,970.79 / $3,991.09 / $4,550.29	Professional		$2,970.79	$3,991.09	$4,550.29
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $887.56 / $887.56 / $887.56	Professional	80	$887.56	$887.56	$887.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $887.56 / $887.56 / $887.56	Professional	AS	$887.56	$887.56	$887.56
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