Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,581.01 / $1,581.01 / $1,581.01	Facility		$1,581.01	$1,581.01	$1,581.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,932.67 / $2,601.50 / $4,432.64	Facility		$1,932.67	$2,601.50	$4,432.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,515.89 / $3,741.59 / $5,250.66	Facility		$2,515.89	$3,741.59	$5,250.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,926.41 / $2,906.80 / $3,325.71	Professional		$1,926.41	$2,906.80	$3,325.71
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $639.71 / $639.71 / $639.71	Professional	80	$639.71	$639.71	$639.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $639.71 / $639.71 / $639.71	Professional	AS	$639.71	$639.71	$639.71
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