Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.47 / $1,117.47 / $1,117.47	Facility		$1,117.47	$1,117.47	$1,117.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,117.17 / $1,561.66 / $3,008.63	Facility		$1,117.17	$1,561.66	$3,008.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,720.12 / $2,585.12 / $3,571.70	Facility		$1,720.12	$2,585.12	$3,571.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,290.70 / $1,936.13 / $2,240.86	Professional		$1,290.70	$1,936.13	$2,240.86
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $430.46 / $430.46 / $430.46	Professional	80	$430.46	$430.46	$430.46
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $430.46 / $430.46 / $430.46	Professional	AS	$430.46	$430.46	$430.46
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