Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,767.85 / $2,767.85 / $2,767.85	Facility		$2,767.85	$2,767.85	$2,767.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.07 / $4,677.67 / $8,067.83	Facility		$2,950.07	$4,677.67	$8,067.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,610.35 / $6,952.92 / $9,642.04	Facility		$4,610.35	$6,952.92	$9,642.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,748.35 / $5,198.59 / $6,017.46	Professional		$3,748.35	$5,198.59	$6,017.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,160.51 / $1,160.51 / $1,160.51	Professional	80	$1,160.51	$1,160.51	$1,160.51
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,160.51 / $1,160.51 / $1,160.51	Professional	AS	$1,160.51	$1,160.51	$1,160.51
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