Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.76 / $1,311.76 / $1,311.76	Facility		$1,311.76	$1,311.76	$1,311.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,622.32 / $2,216.87 / $3,555.07	Facility		$1,622.32	$2,216.87	$3,555.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,493.00 / $3,085.36 / $4,051.41	Facility		$2,493.00	$3,085.36	$4,051.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,658.52 / $2,200.38 / $2,508.67	Professional		$1,658.52	$2,200.38	$2,508.67
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $493.52 / $493.52 / $493.52	Professional	80	$493.52	$493.52	$493.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $493.52 / $493.52 / $493.52	Professional	AS	$493.52	$493.52	$493.52
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