Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.99 / $1,001.99 / $3,511.00	Facility		$1,001.99	$1,001.99	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,069.71 / $1,807.02 / $2,909.30	Facility		$1,069.71	$1,807.02	$2,909.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,669.49 / $2,503.17 / $3,379.83	Facility		$1,669.49	$2,503.17	$3,379.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,350.78 / $1,854.26 / $2,114.07	Professional		$1,350.78	$1,854.26	$2,114.07
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $410.26 / $410.26 / $410.26	Professional	80	$410.26	$410.26	$410.26
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $410.26 / $410.26 / $410.26	Professional	AS	$410.26	$410.26	$410.26
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