Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.69 / $1,105.69 / $3,511.00	Facility		$1,105.69	$1,105.69	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,193.02 / $1,985.38 / $3,209.63	Facility		$1,193.02	$1,985.38	$3,209.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,841.55 / $2,765.03 / $3,767.75	Facility		$1,841.55	$2,765.03	$3,767.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,246.36 / $2,056.81 / $2,354.07	Professional		$1,246.36	$2,056.81	$2,354.07
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $456.33 / $456.33 / $456.33	Professional	80	$456.33	$456.33	$456.33
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $456.33 / $456.33 / $456.33	Professional	AS	$456.33	$456.33	$456.33
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