Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.69 / $753.69 / $753.69	Facility		$753.69	$753.69	$753.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.17 / $1,273.74 / $2,336.69	Facility		$1,000.17	$1,273.74	$2,336.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,359.39 / $2,074.16 / $2,660.26	Facility		$1,359.39	$2,074.16	$2,660.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,093.28 / $1,441.96 / $1,628.25	Professional		$1,093.28	$1,441.96	$1,628.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $325.32 / $325.32 / $325.32	Professional	80	$325.32	$325.32	$325.32
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $325.32 / $325.32 / $325.32	Professional	AS	$325.32	$325.32	$325.32
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