Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.01 / $1,528.01 / $1,528.01	Facility		$1,528.01	$1,528.01	$1,528.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,481.24 / $2,390.59 / $4,110.91	Facility		$1,481.24	$2,390.59	$4,110.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,741.00 / $3,445.73 / $4,688.60	Facility		$2,741.00	$3,445.73	$4,688.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,836.78 / $2,548.19 / $2,905.23	Professional		$1,836.78	$2,548.19	$2,905.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $574.46 / $574.46 / $574.46	Professional	80	$574.46	$574.46	$574.46
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $574.46 / $574.46 / $574.46	Professional	AS	$574.46	$574.46	$574.46
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