Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.66 / $926.66 / $4,338.00	Facility		$926.66	$926.66	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,192.19 / $1,566.06 / $2,584.52	Facility		$1,192.19	$1,566.06	$2,584.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,489.49 / $2,426.94 / $3,107.65	Facility		$1,489.49	$2,426.94	$3,107.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,196.33 / $1,667.85 / $1,962.05	Professional		$1,196.33	$1,667.85	$1,962.05
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $368.95 / $368.95 / $368.95	Professional	80	$368.95	$368.95	$368.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $368.95 / $368.95 / $368.95	Professional	AS	$368.95	$368.95	$368.95
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