Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,826.55 / $2,826.55 / $2,826.55	Facility		$2,826.55	$2,826.55	$2,826.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,721.70 / $4,420.13 / $7,348.45	Facility		$2,721.70	$4,420.13	$7,348.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,677.00 / $6,263.11 / $8,571.04	Facility		$4,677.00	$6,263.11	$8,571.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,490.80 / $4,690.13 / $5,347.28	Professional		$3,490.80	$4,690.13	$5,347.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,043.15 / $1,043.15 / $1,043.15	Professional	80	$1,043.15	$1,043.15	$1,043.15
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,043.15 / $1,043.15 / $1,043.15	Professional	AS	$1,043.15	$1,043.15	$1,043.15
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