Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.78 / $1,894.78 / $1,894.78	Facility		$1,894.78	$1,894.78	$1,894.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,034.27 / $5,569.32	Facility		$2,000.00	$3,034.27	$5,569.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,190.12 / $4,782.64 / $6,492.68	Facility		$3,190.12	$4,782.64	$6,492.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,372.98 / $3,562.70 / $4,061.89	Professional		$2,372.98	$3,562.70	$4,061.89
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $789.63 / $789.63 / $789.63	Professional	80	$789.63	$789.63	$789.63
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $789.63 / $789.63 / $789.63	Professional	AS	$789.63	$789.63	$789.63
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