Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,092.53 / $2,092.53 / $2,092.53	Facility		$2,092.53	$2,092.53	$2,092.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,207.82 / $3,536.38 / $6,070.35	Facility		$2,207.82	$3,536.38	$6,070.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,470.27 / $5,229.59 / $7,243.52	Facility		$3,470.27	$5,229.59	$7,243.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,544.73 / $3,911.71 / $4,541.24	Professional		$2,544.73	$3,911.71	$4,541.24
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $872.38 / $872.38 / $872.38	Professional	80	$872.38	$872.38	$872.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $872.38 / $872.38 / $872.38	Professional	AS	$872.38	$872.38	$872.38
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