Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.66 / $1,167.66 / $1,167.66	Facility		$1,167.66	$1,167.66	$1,167.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,442.46 / $1,973.35 / $3,136.37	Facility		$1,442.46	$1,973.35	$3,136.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,184.00 / $2,742.46 / $3,581.11	Facility		$2,184.00	$2,742.46	$3,581.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,470.40 / $1,950.15 / $2,223.40	Professional		$1,470.40	$1,950.15	$2,223.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $437.54 / $437.54 / $437.54	Professional	80	$437.54	$437.54	$437.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $437.54 / $437.54 / $437.54	Professional	AS	$437.54	$437.54	$437.54
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