Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.18 / $1,490.18 / $1,490.18	Facility		$1,490.18	$1,490.18	$1,490.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,831.76 / $2,332.06 / $3,847.22	Facility		$1,831.76	$2,332.06	$3,847.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,515.00 / $3,304.22 / $4,530.06	Facility		$2,515.00	$3,304.22	$4,530.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,607.49 / $2,467.62 / $2,813.37	Professional		$1,607.49	$2,467.62	$2,813.37
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $546.66 / $546.66 / $546.66	Professional	80	$546.66	$546.66	$546.66
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $546.66 / $546.66 / $546.66	Professional	AS	$546.66	$546.66	$546.66
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