Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.15 / $1,274.15 / $4,338.00	Facility		$1,274.15	$1,274.15	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,547.62 / $2,057.02 / $3,467.69	Facility		$1,547.62	$2,057.02	$3,467.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,987.68 / $3,212.40 / $4,092.09	Facility		$1,987.68	$3,212.40	$4,092.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,639.97 / $2,211.14 / $2,570.13	Professional		$1,639.97	$2,211.14	$2,570.13
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $489.27 / $489.27 / $489.27	Professional	80	$489.27	$489.27	$489.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $489.27 / $489.27 / $489.27	Professional	AS	$489.27	$489.27	$489.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00