Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.40 / $1,430.40 / $1,430.40	Facility		$1,430.40	$1,430.40	$1,430.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,768.65 / $2,417.38 / $3,883.81	Facility		$1,768.65	$2,417.38	$3,883.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,587.00 / $3,225.22 / $4,399.72	Facility		$2,587.00	$3,225.22	$4,399.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,809.46 / $2,396.13 / $2,731.86	Professional		$1,809.46	$2,396.13	$2,731.86
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $538.42 / $538.42 / $538.42	Professional	80	$538.42	$538.42	$538.42
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $538.42 / $538.42 / $538.42	Professional	AS	$538.42	$538.42	$538.42
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