Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.00 / $2,231.00 / $2,231.00	Facility		$2,231.00	$2,231.00	$2,231.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,419.02 / $3,521.24 / $6,307.48	Facility		$2,419.02	$3,521.24	$6,307.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,610.04 / $5,845.07 / $7,530.30	Facility		$3,610.04	$5,845.07	$7,530.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,014.65 / $4,056.18 / $4,761.83	Professional		$3,014.65	$4,056.18	$4,761.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $901.72 / $901.72 / $901.72	Professional	80	$901.72	$901.72	$901.72
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $901.72 / $901.72 / $901.72	Professional	AS	$901.72	$901.72	$901.72
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