Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.83 / $1,014.83 / $4,338.00	Facility		$1,014.83	$1,014.83	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,052.73 / $1,597.82 / $2,924.21	Facility		$1,052.73	$1,597.82	$2,924.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,673.04 / $2,517.75 / $3,514.35	Facility		$1,673.04	$2,517.75	$3,514.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,181.83 / $1,883.91 / $2,203.98	Professional		$1,181.83	$1,883.91	$2,203.98
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $419.52 / $419.52 / $419.52	Professional	80	$419.52	$419.52	$419.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $419.52 / $419.52 / $419.52	Professional	AS	$419.52	$419.52	$419.52
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