Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.75 / $1,020.75 / $1,020.75	Facility		$1,020.75	$1,020.75	$1,020.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,367.64 / $1,725.07 / $2,798.56	Facility		$1,367.64	$1,725.07	$2,798.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,593.79 / $2,402.53 / $3,363.13	Facility		$1,593.79	$2,402.53	$3,363.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,340.74 / $1,832.85 / $2,147.06	Professional		$1,340.74	$1,832.85	$2,147.06
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $406.65 / $406.65 / $406.65	Professional	80	$406.65	$406.65	$406.65
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $406.65 / $406.65 / $406.65	Professional	AS	$406.65	$406.65	$406.65
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