Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.55 / $1,828.55 / $1,828.55	Facility		$1,828.55	$1,828.55	$1,828.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,043.04 / $3,090.25 / $5,136.18	Facility		$2,043.04	$3,090.25	$5,136.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,888.38 / $4,712.60 / $6,243.43	Facility		$2,888.38	$4,712.60	$6,243.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,546.38 / $3,446.39 / $3,992.02	Professional		$2,546.38	$3,446.39	$3,992.02
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $757.72 / $757.72 / $757.72	Professional	80	$757.72	$757.72	$757.72
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $757.72 / $757.72 / $757.72	Professional	AS	$757.72	$757.72	$757.72
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