Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,781.96 / $2,781.96 / $2,781.96	Facility		$2,781.96	$2,781.96	$2,781.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,949.55 / $4,701.51 / $8,107.28	Facility		$2,949.55	$4,701.51	$8,107.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,633.47 / $6,978.00 / $9,659.77	Facility		$4,633.47	$6,978.00	$9,659.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,748.35 / $5,226.43 / $6,053.04	Professional		$3,748.35	$5,226.43	$6,053.04
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,165.91 / $1,165.91 / $1,165.91	Professional	80	$1,165.91	$1,165.91	$1,165.91
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,165.91 / $1,165.91 / $1,165.91	Professional	AS	$1,165.91	$1,165.91	$1,165.91
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