Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.14 / $1,271.14 / $1,271.14	Facility		$1,271.14	$1,271.14	$1,271.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,042.89 / $1,581.55 / $3,971.88	Facility		$1,042.89	$1,581.55	$3,971.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,826.24 / $2,696.37 / $3,094.71	Facility		$1,826.24	$2,696.37	$3,094.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,375.63 / $1,948.85 / $2,483.26	Professional		$1,375.63	$1,948.85	$2,483.26
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $436.25 / $436.25 / $436.25	Professional	80	$436.25	$436.25	$436.25
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