Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.96 / $1,022.96 / $1,022.96	Facility		$1,022.96	$1,022.96	$1,022.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,133.64 / $1,728.80 / $3,154.50	Facility		$1,133.64	$1,728.80	$3,154.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,730.53 / $2,593.48 / $3,569.63	Facility		$1,730.53	$2,593.48	$3,569.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,444.20 / $1,952.95 / $2,229.21	Professional		$1,444.20	$1,952.95	$2,229.21
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $432.39 / $432.39 / $432.39	Professional	80	$432.39	$432.39	$432.39
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $432.39 / $432.39 / $432.39	Professional	AS	$432.39	$432.39	$432.39
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