Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.89 / $1,490.89 / $3,511.00	Facility		$1,490.89	$1,490.89	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,627.12 / $2,525.15 / $4,372.25	Facility		$1,627.12	$2,525.15	$4,372.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,498.91 / $3,751.89 / $5,133.85	Facility		$2,498.91	$3,751.89	$5,133.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,047.52 / $2,804.69 / $3,206.04	Professional		$2,047.52	$2,804.69	$3,206.04
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $621.17 / $621.17 / $621.17	Professional	80	$621.17	$621.17	$621.17
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $621.17 / $621.17 / $621.17	Professional	AS	$621.17	$621.17	$621.17
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