Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,896.04 / $4,896.04 / $4,896.04	Facility		$4,896.04	$4,896.04	$4,896.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,717.34 / $7,645.29 / $12,763.67	Facility		$4,717.34	$7,645.29	$12,763.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,524.00 / $10,869.84 / $14,859.35	Facility		$7,524.00	$10,869.84	$14,859.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,074.15 / $8,125.74 / $9,264.25	Professional		$6,074.15	$8,125.74	$9,264.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,818.88 / $1,818.88 / $1,818.88	Professional	80	$1,818.88	$1,818.88	$1,818.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,818.88 / $1,818.88 / $1,818.88	Professional	AS	$1,818.88	$1,818.88	$1,818.88
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