Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.00 / $997.00 / $997.00	Facility		$997.00	$997.00	$997.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,213.43 / $1,614.56 / $2,729.52	Facility		$1,213.43	$1,614.56	$2,729.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,554.31 / $2,524.81 / $3,259.89	Facility		$1,554.31	$2,524.81	$3,259.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,298.03 / $1,755.11 / $2,049.38	Professional		$1,298.03	$1,755.11	$2,049.38
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $388.64 / $388.64 / $388.64	Professional	80	$388.64	$388.64	$388.64
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