Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.49 / $1,427.49 / $1,427.49	Facility		$1,427.49	$1,427.49	$1,427.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,537.14 / $2,412.46 / $4,198.47	Facility		$1,537.14	$2,412.46	$4,198.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,401.63 / $3,605.23 / $4,933.64	Facility		$2,401.63	$3,605.23	$4,933.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,964.66 / $2,692.71 / $3,077.95	Professional		$1,964.66	$2,692.71	$3,077.95
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $597.50 / $597.50 / $597.50	Professional	80	$597.50	$597.50	$597.50
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $597.50 / $597.50 / $597.50	Professional	AS	$597.50	$597.50	$597.50
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