Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.04 / $1,113.04 / $1,113.04	Facility		$1,113.04	$1,113.04	$1,113.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,079.10 / $1,740.58 / $3,008.33	Facility		$1,079.10	$1,740.58	$3,008.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $2,504.91 / $3,428.83	Facility		$1,998.00	$2,504.91	$3,428.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,405.52 / $1,855.97 / $2,116.01	Professional		$1,405.52	$1,855.97	$2,116.01
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $418.24 / $418.24 / $418.24	Professional	80	$418.24	$418.24	$418.24
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $418.24 / $418.24 / $418.24	Professional	AS	$418.24	$418.24	$418.24
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