Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.84 / $1,079.84 / $1,079.84	Facility		$1,079.84	$1,079.84	$1,079.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,332.40 / $1,824.95 / $2,901.98	Facility		$1,332.40	$1,824.95	$2,901.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,010.00 / $2,528.02 / $3,315.17	Facility		$2,010.00	$2,528.02	$3,315.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,359.25 / $1,802.06 / $2,054.55	Professional		$1,359.25	$1,802.06	$2,054.55
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $404.47 / $404.47 / $404.47	Professional	80	$404.47	$404.47	$404.47
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $404.47 / $404.47 / $404.47	Professional	AS	$404.47	$404.47	$404.47
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