Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,505.44 / $2,505.44 / $2,505.44	Facility		$2,505.44	$2,505.44	$2,505.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,799.59 / $4,234.18 / $7,049.75	Facility		$2,799.59	$4,234.18	$7,049.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,962.78 / $6,481.27 / $8,575.23	Facility		$3,962.78	$6,481.27	$8,575.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,496.38 / $4,728.05 / $5,469.54	Professional		$3,496.38	$4,728.05	$5,469.54
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,042.89 / $1,042.89 / $1,042.89	Professional	80	$1,042.89	$1,042.89	$1,042.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,042.89 / $1,042.89 / $1,042.89	Professional	AS	$1,042.89	$1,042.89	$1,042.89
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