Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,030.45 / $2,030.45 / $2,030.45	Facility		$2,030.45	$2,030.45	$2,030.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,507.78 / $3,175.85 / $5,287.85	Facility		$1,507.78	$3,175.85	$5,287.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,989.00 / $4,504.14 / $6,156.89	Facility		$2,989.00	$4,504.14	$6,156.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,206.89 / $3,375.46 / $3,848.41	Professional		$2,206.89	$3,375.46	$3,848.41
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $750.51 / $750.51 / $750.51	Professional	80	$750.51	$750.51	$750.51
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $750.51 / $750.51 / $750.51	Professional	AS	$750.51	$750.51	$750.51
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