Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.35 / $1,124.35 / $1,124.35	Facility		$1,124.35	$1,124.35	$1,124.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,387.07 / $1,900.17 / $3,017.59	Facility		$1,387.07	$1,900.17	$3,017.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,933.00 / $2,619.00 / $3,457.01	Facility		$1,933.00	$2,619.00	$3,457.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,418.06 / $1,879.23 / $2,142.53	Professional		$1,418.06	$1,879.23	$2,142.53
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $421.97 / $421.97 / $421.97	Professional	80	$421.97	$421.97	$421.97
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $421.97 / $421.97 / $421.97	Professional	AS	$421.97	$421.97	$421.97
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