Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.80 / $1,938.80 / $1,938.80	Facility		$1,938.80	$1,938.80	$1,938.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,276.57 / $5,145.54	Facility		$2,000.00	$3,276.57	$5,145.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,143.35 / $4,542.39 / $5,934.77	Facility		$4,143.35	$4,542.39	$5,934.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,450.81 / $3,230.21 / $3,682.80	Professional		$2,450.81	$3,230.21	$3,682.80
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $729.28 / $729.28 / $729.28	Professional	80	$729.28	$729.28	$729.28
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $729.28 / $729.28 / $729.28	Professional	AS	$729.28	$729.28	$729.28
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