Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.30 / $1,813.30 / $1,813.30	Facility		$1,813.30	$1,813.30	$1,813.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,931.36 / $2,775.91 / $5,300.86	Facility		$1,931.36	$2,775.91	$5,300.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,027.52 / $4,555.59 / $6,311.24	Facility		$3,027.52	$4,555.59	$6,311.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,252.32 / $3,413.90 / $3,961.62	Professional		$2,252.32	$3,413.90	$3,961.62
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $760.29 / $760.29 / $760.29	Professional	80	$760.29	$760.29	$760.29
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $760.29 / $760.29 / $760.29	Professional	AS	$760.29	$760.29	$760.29
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