Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.77 / $1,567.77 / $1,567.77	Facility		$1,567.77	$1,567.77	$1,567.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,670.44 / $2,649.53 / $4,599.27	Facility		$1,670.44	$2,649.53	$4,599.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,630.62 / $3,947.79 / $5,386.24	Facility		$2,630.62	$3,947.79	$5,386.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,863.63 / $2,946.84 / $3,363.23	Professional		$1,863.63	$2,946.84	$3,363.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $652.32 / $652.32 / $652.32	Professional	80	$652.32	$652.32	$652.32
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $652.32 / $652.32 / $652.32	Professional	AS	$652.32	$652.32	$652.32
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