Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,891.39 / $1,891.39 / $1,891.39	Facility		$1,891.39	$1,891.39	$1,891.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,196.45 / $4,908.22	Facility		$2,000.00	$3,196.45	$4,908.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,441.00 / $4,406.14 / $5,729.34	Facility		$3,441.00	$4,406.14	$5,729.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,331.48 / $3,138.29 / $3,578.00	Professional		$2,331.48	$3,138.29	$3,578.00
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $696.07 / $696.07 / $696.07	Professional	80	$696.07	$696.07	$696.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $696.07 / $696.07 / $696.07	Professional	AS	$696.07	$696.07	$696.07
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