Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.80 / $1,953.80 / $1,953.80	Facility		$1,953.80	$1,953.80	$1,953.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,301.92 / $5,074.31	Facility		$2,000.00	$3,301.92	$5,074.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,506.00 / $4,551.30 / $5,921.21	Facility		$3,506.00	$4,551.30	$5,921.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,410.01 / $3,239.29 / $3,693.15	Professional		$2,410.01	$3,239.29	$3,693.15
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $720.01 / $720.01 / $720.01	Professional	80	$720.01	$720.01	$720.01
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $720.01 / $720.01 / $720.01	Professional	AS	$720.01	$720.01	$720.01
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