Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.90 / $1,403.90 / $1,403.90	Facility		$1,403.90	$1,403.90	$1,403.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,500.16 / $2,372.59 / $4,073.23	Facility		$1,500.16	$2,372.59	$4,073.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,328.73 / $3,506.38 / $4,856.47	Facility		$2,328.73	$3,506.38	$4,856.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,896.86 / $2,624.24 / $3,054.01	Professional		$1,896.86	$2,624.24	$3,054.01
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $584.89 / $584.89 / $584.89	Professional	80	$584.89	$584.89	$584.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $584.89 / $584.89 / $584.89	Professional	AS	$584.89	$584.89	$584.89
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