Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.04 / $1,126.04 / $1,126.04	Facility		$1,126.04	$1,126.04	$1,126.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,212.88 / $1,713.74 / $3,127.15	Facility		$1,212.88	$1,713.74	$3,127.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $2,938.47 / $3,769.83	Facility		$1,787.00	$2,938.47	$3,769.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,350.56 / $2,032.43 / $2,390.94	Professional		$1,350.56	$2,032.43	$2,390.94
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $448.86 / $448.86 / $448.86	Professional	80	$448.86	$448.86	$448.86
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