Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.72 / $1,335.72 / $4,338.00	Facility		$1,335.72	$1,335.72	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,092.72 / $1,667.82 / $3,231.04	Facility		$1,092.72	$1,667.82	$3,231.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,345.96 / $2,870.26 / $3,665.08	Facility		$2,345.96	$2,870.26	$3,665.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,329.73 / $2,013.29 / $2,401.94	Professional		$1,329.73	$2,013.29	$2,401.94
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $452.21 / $452.21 / $452.21	Professional	80	$452.21	$452.21	$452.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $8,045.72	Facility		$4,500.00	$4,500.00	$8,045.72