Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,048.27 / $2,048.27 / $2,048.27	Facility		$2,048.27	$2,048.27	$2,048.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,125.75 / $3,461.58 / $5,868.57	Facility		$2,125.75	$3,461.58	$5,868.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,409.66 / $5,367.18 / $6,642.86	Facility		$3,409.66	$5,367.18	$6,642.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,739.70 / $3,647.14 / $4,212.60	Professional		$2,739.70	$3,647.14	$4,212.60
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $815.24 / $815.24 / $815.24	Professional	80	$815.24	$815.24	$815.24
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $815.24 / $815.24 / $815.24	Professional	AS	$815.24	$815.24	$815.24
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