Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.06 / $1,020.06 / $1,020.06	Facility		$1,020.06	$1,020.06	$1,020.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,261.66 / $1,723.90 / $2,764.48	Facility		$1,261.66	$1,723.90	$2,764.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,923.00 / $2,399.59 / $3,147.28	Facility		$1,923.00	$2,399.59	$3,147.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,292.22 / $1,710.71 / $1,950.40	Professional		$1,292.22	$1,710.71	$1,950.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $384.52 / $384.52 / $384.52	Professional	80	$384.52	$384.52	$384.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $384.52 / $384.52 / $384.52	Professional	AS	$384.52	$384.52	$384.52
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