Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.49 / $1,103.49 / $1,103.49	Facility		$1,103.49	$1,103.49	$1,103.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,195.23 / $1,864.90 / $3,184.22	Facility		$1,195.23	$1,864.90	$3,184.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,821.61 / $2,748.22 / $3,796.96	Facility		$1,821.61	$2,748.22	$3,796.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,375.70 / $2,049.85 / $2,397.41	Professional		$1,375.70	$2,049.85	$2,397.41
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $457.74 / $457.74 / $457.74	Professional	80	$457.74	$457.74	$457.74
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