Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,365.16	Facility		$1,000.00	$1,000.00	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,884.03	Facility		$891.25	$1,479.11	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,511.89 / $2,630.27	Professional		$2,344.23	$2,511.89	$2,630.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,089.30	Professional		$1,230.27	$1,737.80	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	80	$416.87	$416.87	$416.87
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	AS	$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26