Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.03 / $1,653.03 / $1,653.03	Facility		$1,653.03	$1,653.03	$1,653.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,793.62 / $4,492.75	Facility		$2,000.00	$2,793.62	$4,492.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,057.00 / $3,889.40 / $5,103.63	Facility		$3,057.00	$3,889.40	$5,103.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,096.17 / $2,774.02 / $3,162.69	Professional		$2,096.17	$2,774.02	$3,162.69
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $623.75 / $623.75 / $623.75	Professional	80	$623.75	$623.75	$623.75
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $623.75 / $623.75 / $623.75	Professional	AS	$623.75	$623.75	$623.75
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