Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.60 / $1,259.60 / $4,338.00	Facility		$1,259.60	$1,259.60	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,622.54 / $2,128.73 / $3,611.57	Facility		$1,622.54	$2,128.73	$3,611.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,098.89 / $3,302.01 / $4,083.74	Facility		$2,098.89	$3,302.01	$4,083.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,686.19 / $2,244.79 / $2,590.19	Professional		$1,686.19	$2,244.79	$2,590.19
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $501.76 / $501.76 / $501.76	Professional	80	$501.76	$501.76	$501.76
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $501.76 / $501.76 / $501.76	Professional	AS	$501.76	$501.76	$501.76
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