Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.47 / $1,870.47 / $1,870.47	Facility		$1,870.47	$1,870.47	$1,870.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,093.21 / $3,035.91 / $5,322.08	Facility		$2,093.21	$3,035.91	$5,322.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,988.74 / $4,841.91 / $6,412.41	Facility		$2,988.74	$4,841.91	$6,412.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,633.30 / $3,572.29 / $4,088.41	Professional		$2,633.30	$3,572.29	$4,088.41
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $783.58 / $783.58 / $783.58	Professional	80	$783.58	$783.58	$783.58
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $783.58 / $783.58 / $783.58	Professional	AS	$783.58	$783.58	$783.58
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