Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.61 / $1,174.61 / $1,174.61	Facility		$1,174.61	$1,174.61	$1,174.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,438.72 / $1,882.27 / $3,250.26	Facility		$1,438.72	$1,882.27	$3,250.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,831.86 / $3,021.21 / $3,966.95	Facility		$1,831.86	$3,021.21	$3,966.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,606.19 / $2,175.75 / $2,542.96	Professional		$1,606.19	$2,175.75	$2,542.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $477.95 / $477.95 / $477.95	Professional	80	$477.95	$477.95	$477.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $477.95 / $477.95 / $477.95	Professional	AS	$477.95	$477.95	$477.95
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