Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.54 / $1,690.54 / $1,690.54	Facility		$1,690.54	$1,690.54	$1,690.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,857.01 / $4,592.10	Facility		$2,000.00	$2,857.01	$4,592.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,176.00 / $3,974.28 / $5,216.25	Facility		$3,176.00	$3,974.28	$5,216.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,151.10 / $2,828.49 / $3,224.80	Professional		$2,151.10	$2,828.49	$3,224.80
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $640.09 / $640.09 / $640.09	Professional	80	$640.09	$640.09	$640.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $640.09 / $640.09 / $640.09	Professional	AS	$640.09	$640.09	$640.09
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