Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.40 / $1,206.40 / $1,206.40	Facility		$1,206.40	$1,206.40	$1,206.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,226.60 / $1,848.78 / $3,494.99	Facility		$1,226.60	$1,848.78	$3,494.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,999.10 / $3,008.19 / $4,179.68	Facility		$1,999.10	$3,008.19	$4,179.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,465.34 / $2,251.17 / $2,626.41	Professional		$1,465.34	$2,251.17	$2,626.41
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $501.50 / $501.50 / $501.50	Professional	80	$501.50	$501.50	$501.50
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $501.50 / $501.50 / $501.50	Professional	AS	$501.50	$501.50	$501.50
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