Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.15 / $1,068.15 / $1,068.15	Facility		$1,068.15	$1,068.15	$1,068.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,319.59 / $1,805.17 / $2,899.34	Facility		$1,319.59	$1,805.17	$2,899.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,502.16 / $3,290.16	Facility		$2,004.00	$2,502.16	$3,290.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,355.36 / $1,781.64 / $2,031.27	Professional		$1,355.36	$1,781.64	$2,031.27
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $403.31 / $403.31 / $403.31	Professional	80	$403.31	$403.31	$403.31
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $403.31 / $403.31 / $403.31	Professional	AS	$403.31	$403.31	$403.31
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