Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.15 / $963.15 / $963.15	Facility		$963.15	$963.15	$963.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,173.40 / $1,608.99 / $2,689.77	Facility		$1,173.40	$1,608.99	$2,689.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,513.68 / $2,459.78 / $3,232.77	Facility		$1,513.68	$2,459.78	$3,232.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,312.98 / $1,792.42 / $2,043.56	Professional		$1,312.98	$1,792.42	$2,043.56
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $390.70 / $390.70 / $390.70	Professional	80	$390.70	$390.70	$390.70
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $390.70 / $390.70 / $390.70	Professional	AS	$390.70	$390.70	$390.70
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