Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.45 / $1,205.45 / $1,205.45	Facility		$1,205.45	$1,205.45	$1,205.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.86 / $2,037.21 / $3,515.01	Facility		$1,288.86	$2,037.21	$3,515.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,013.37 / $3,023.79 / $4,124.43	Facility		$2,013.37	$3,023.79	$4,124.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,606.62 / $2,248.28 / $2,584.37	Professional		$1,606.62	$2,248.28	$2,584.37
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $498.80 / $498.80 / $498.80	Professional	80	$498.80	$498.80	$498.80
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $498.80 / $498.80 / $498.80	Professional	AS	$498.80	$498.80	$498.80
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