Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.59 / $1,288.59 / $1,288.59	Facility		$1,288.59	$1,288.59	$1,288.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,586.99 / $2,177.73 / $3,380.22	Facility		$1,586.99	$2,177.73	$3,380.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,355.00 / $3,006.78 / $3,946.09	Facility		$2,355.00	$3,006.78	$3,946.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.56 / $2,136.83 / $2,436.23	Professional		$1,584.56	$2,136.83	$2,436.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $471.51 / $471.51 / $471.51	Professional	80	$471.51	$471.51	$471.51
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $471.51 / $471.51 / $471.51	Professional	AS	$471.51	$471.51	$471.51
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