Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,154.72 / $3,154.72 / $3,154.72	Facility		$3,154.72	$3,154.72	$3,154.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,046.75 / $4,931.34 / $8,282.45	Facility		$3,046.75	$4,931.34	$8,282.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $7,049.75 / $9,615.96	Facility		$5,356.00	$7,049.75	$9,615.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,935.30 / $5,246.75 / $5,981.88	Professional		$3,935.30	$5,246.75	$5,981.88
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,175.95 / $1,175.95 / $1,175.95	Professional	80	$1,175.95	$1,175.95	$1,175.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,175.95 / $1,175.95 / $1,175.95	Professional	AS	$1,175.95	$1,175.95	$1,175.95
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