Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,219.63 / $2,219.63 / $2,219.63	Facility		$2,219.63	$2,219.63	$2,219.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,139.25 / $3,745.76 / $5,775.16	Facility		$2,139.25	$3,745.76	$5,775.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,929.00 / $5,173.50 / $6,725.22	Facility		$3,929.00	$5,173.50	$6,725.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,743.39 / $3,686.40 / $4,202.91	Professional		$2,743.39	$3,686.40	$4,202.91
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $818.71 / $818.71 / $818.71	Professional	80	$818.71	$818.71	$818.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $818.71 / $818.71 / $818.71	Professional	AS	$818.71	$818.71	$818.71
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