Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.25 / $1,087.25 / $1,087.25	Facility		$1,087.25	$1,087.25	$1,087.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,343.54 / $1,837.45 / $2,958.55	Facility		$1,343.54	$1,837.45	$2,958.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,549.82 / $3,354.80	Facility		$2,056.00	$2,549.82	$3,354.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,382.60 / $1,817.95 / $2,072.67	Professional		$1,382.60	$1,817.95	$2,072.67
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $411.42 / $411.42 / $411.42	Professional	80	$411.42	$411.42	$411.42
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $411.42 / $411.42 / $411.42	Professional	AS	$411.42	$411.42	$411.42
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