Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.16 / $1,163.16 / $1,163.16	Facility		$1,163.16	$1,163.16	$1,163.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.31 / $1,445.16 / $3,149.47	Facility		$954.31	$1,445.16	$3,149.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,821.47 / $2,173.54 / $2,705.22	Facility		$1,821.47	$2,173.54	$2,705.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,220.76 / $1,784.43 / $2,099.19	Professional		$1,220.76	$1,784.43	$2,099.19
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $400.48 / $400.48 / $400.48	Professional	80	$400.48	$400.48	$400.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00