Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.90 / $1,516.90 / $4,338.00	Facility		$1,516.90	$1,516.90	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,472.57 / $2,372.73 / $3,792.95	Facility		$1,472.57	$2,372.73	$3,792.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,731.87 / $3,559.78 / $4,665.63	Facility		$2,731.87	$3,559.78	$4,665.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,919.74 / $2,532.87 / $2,887.76	Professional		$1,919.74	$2,532.87	$2,887.76
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $571.25 / $571.25 / $571.25	Professional	80	$571.25	$571.25	$571.25
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $571.25 / $571.25 / $571.25	Professional	AS	$571.25	$571.25	$571.25
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