Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.39 / $1,352.39 / $1,352.39	Facility		$1,352.39	$1,352.39	$1,352.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,672.47 / $2,285.54 / $3,669.88	Facility		$1,672.47	$2,285.54	$3,669.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,542.00 / $3,179.76 / $4,175.50	Facility		$2,542.00	$3,179.76	$4,175.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,715.60 / $2,272.44 / $2,590.83	Professional		$1,715.60	$2,272.44	$2,590.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $510.51 / $510.51 / $510.51	Professional	80	$510.51	$510.51	$510.51
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $510.51 / $510.51 / $510.51	Professional	AS	$510.51	$510.51	$510.51
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