Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,811.14 / $4,811.14 / $4,811.14	Facility		$4,811.14	$4,811.14	$4,811.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,657.62 / $8,130.83 / $12,742.16	Facility		$4,657.62	$8,130.83	$12,742.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,995.62 / $12,032.09 / $16,683.25	Facility		$7,995.62	$12,032.09	$16,683.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,069.86 / $8,345.32 / $10,519.24	Professional		$6,069.86	$8,345.32	$10,519.24
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $2,011.39 / $2,011.39 / $2,011.39	Professional	80	$2,011.39	$2,011.39	$2,011.39
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