Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.05 / $1,047.05 / $1,047.05	Facility		$1,047.05	$1,047.05	$1,047.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,390.39 / $1,769.51 / $3,135.65	Facility		$1,390.39	$1,769.51	$3,135.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,824.27 / $2,886.12 / $3,560.25	Facility		$1,824.27	$2,886.12	$3,560.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,466.51 / $1,951.21 / $2,268.03	Professional		$1,466.51	$1,951.21	$2,268.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $436.38 / $436.38 / $436.38	Professional	80	$436.38	$436.38	$436.38
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