Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.97 / $1,128.97 / $1,128.97	Facility		$1,128.97	$1,128.97	$1,128.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,450.63 / $1,907.96 / $3,206.42	Facility		$1,450.63	$1,907.96	$3,206.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,847.80 / $2,945.15 / $3,697.90	Facility		$1,847.80	$2,945.15	$3,697.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,521.11 / $2,040.56 / $2,353.42	Professional		$1,521.11	$2,040.56	$2,353.42
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $453.63 / $453.63 / $453.63	Professional	80	$453.63	$453.63	$453.63
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $453.63 / $453.63 / $453.63	Professional	AS	$453.63	$453.63	$453.63
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