Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.39 / $2,144.39 / $2,144.39	Facility		$2,144.39	$2,144.39	$2,144.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,064.69 / $3,533.40 / $5,576.60	Facility		$2,064.69	$3,533.40	$5,576.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,789.00 / $4,996.78 / $6,499.97	Facility		$3,789.00	$4,996.78	$6,499.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,648.57 / $3,558.17 / $4,056.71	Professional		$2,648.57	$3,558.17	$4,056.71
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $790.79 / $790.79 / $790.79	Professional	80	$790.79	$790.79	$790.79
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $790.79 / $790.79 / $790.79	Professional	AS	$790.79	$790.79	$790.79
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