Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.64 / $1,252.64 / $1,252.64	Facility		$1,252.64	$1,252.64	$1,252.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,319.78 / $2,116.96 / $3,672.05	Facility		$1,319.78	$2,116.96	$3,672.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,102.40 / $3,157.34 / $4,324.63	Facility		$2,102.40	$3,157.34	$4,324.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,536.98 / $2,354.44 / $2,705.98	Professional		$1,536.98	$2,354.44	$2,705.98
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $523.12 / $523.12 / $523.12	Professional	80	$523.12	$523.12	$523.12
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