Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.58 / $1,383.58 / $1,383.58	Facility		$1,383.58	$1,383.58	$1,383.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,710.39 / $2,338.25 / $3,744.36	Facility		$1,710.39	$2,338.25	$3,744.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,496.00 / $3,124.03 / $4,270.38	Facility		$2,496.00	$3,124.03	$4,270.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,752.36 / $2,316.69 / $2,641.29	Professional		$1,752.36	$2,316.69	$2,641.29
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $521.44 / $521.44 / $521.44	Professional	80	$521.44	$521.44	$521.44
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $521.44 / $521.44 / $521.44	Professional	AS	$521.44	$521.44	$521.44
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