Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.47 / $1,084.47 / $1,084.47	Facility		$1,084.47	$1,084.47	$1,084.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,138.26 / $1,832.75 / $3,142.82	Facility		$1,138.26	$1,832.75	$3,142.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,799.98 / $2,705.78 / $3,719.78	Facility		$1,799.98	$2,705.78	$3,719.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,353.31 / $2,016.78 / $2,337.25	Professional		$1,353.31	$2,016.78	$2,337.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $448.48 / $448.48 / $448.48	Professional	80	$448.48	$448.48	$448.48
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $448.48 / $448.48 / $448.48	Professional	AS	$448.48	$448.48	$448.48
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