Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.91 / $1,794.91 / $1,794.91	Facility		$1,794.91	$1,794.91	$1,794.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,838.93 / $5,289.13	Facility		$2,000.00	$2,838.93	$5,289.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,046.01 / $4,924.21 / $6,180.87	Facility		$3,046.01	$4,924.21	$6,180.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,438.42 / $3,382.57 / $3,902.10	Professional		$2,438.42	$3,382.57	$3,902.10
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $758.23 / $758.23 / $758.23	Professional	80	$758.23	$758.23	$758.23
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $758.23 / $758.23 / $758.23	Professional	AS	$758.23	$758.23	$758.23
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