Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.32 / $1,790.32 / $3,511.00	Facility		$1,790.32	$1,790.32	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,908.18 / $3,025.64 / $5,235.43	Facility		$1,908.18	$3,025.64	$5,235.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,004.29 / $4,502.55 / $6,016.10	Facility		$3,004.29	$4,502.55	$6,016.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,407.62 / $3,307.94 / $3,771.43	Professional		$2,407.62	$3,307.94	$3,771.43
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $735.20 / $735.20 / $735.20	Professional	80	$735.20	$735.20	$735.20
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $735.20 / $735.20 / $735.20	Professional	AS	$735.20	$735.20	$735.20
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