Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.32 / $1,253.32 / $1,253.32	Facility		$1,253.32	$1,253.32	$1,253.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,614.60 / $2,000.00 / $3,589.57	Facility		$1,614.60	$2,000.00	$3,589.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,086.66 / $3,284.24 / $4,060.81	Facility		$2,086.66	$3,284.24	$4,060.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,676.69 / $2,232.03 / $2,577.90	Professional		$1,676.69	$2,232.03	$2,577.90
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $498.92 / $498.92 / $498.92	Professional	80	$498.92	$498.92	$498.92
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $498.92 / $498.92 / $498.92	Professional	AS	$498.92	$498.92	$498.92
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