Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.60 / $1,199.60 / $1,199.60	Facility		$1,199.60	$1,199.60	$1,199.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,544.10 / $2,027.34 / $3,428.00	Facility		$1,544.10	$2,027.34	$3,428.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,991.27 / $3,141.81 / $3,900.19	Facility		$1,991.27	$3,141.81	$3,900.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,604.89 / $2,135.71 / $2,473.75	Professional		$1,604.89	$2,135.71	$2,473.75
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $477.56 / $477.56 / $477.56	Professional	80	$477.56	$477.56	$477.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $477.56 / $477.56 / $477.56	Professional	AS	$477.56	$477.56	$477.56
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