Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.38 / $1,053.38 / $4,338.00	Facility		$1,053.38	$1,053.38	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,279.52 / $1,699.67 / $2,876.21	Facility		$1,279.52	$1,699.67	$2,876.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,813.00 / $2,863.16 / $5,659.68	Facility		$1,813.00	$2,863.16	$5,659.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.25 / $1,830.53 / $2,121.83	Professional		$1,258.25	$1,830.53	$2,121.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $404.85 / $404.85 / $404.85	Professional	80	$404.85	$404.85	$404.85
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $404.85 / $404.85 / $404.85	Professional	AS	$404.85	$404.85	$404.85
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