Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.87 / $1,389.87 / $1,389.87	Facility		$1,389.87	$1,389.87	$1,389.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,491.70 / $2,348.88 / $4,084.27	Facility		$1,491.70	$2,348.88	$4,084.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,339.38 / $3,513.33 / $4,769.93	Facility		$2,339.38	$3,513.33	$4,769.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,804.34 / $2,605.67 / $2,991.27	Professional		$1,804.34	$2,605.67	$2,991.27
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $578.84 / $578.84 / $578.84	Professional	80	$578.84	$578.84	$578.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $578.84 / $578.84 / $578.84	Professional	AS	$578.84	$578.84	$578.84
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