Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,003.36 / $2,003.36 / $2,003.36	Facility		$2,003.36	$2,003.36	$2,003.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,230.73 / $3,385.68 / $5,590.96	Facility		$2,230.73	$3,385.68	$5,590.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,142.31 / $5,169.39 / $6,820.14	Facility		$3,142.31	$5,169.39	$6,820.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,771.70 / $3,748.67 / $4,361.39	Professional		$2,771.70	$3,748.67	$4,361.39
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $824.76 / $824.76 / $824.76	Professional	80	$824.76	$824.76	$824.76
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $824.76 / $824.76 / $824.76	Professional	AS	$824.76	$824.76	$824.76
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