Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.61 / $1,209.61 / $4,338.00	Facility		$1,209.61	$1,209.61	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $991.77 / $1,424.68 / $2,990.83	Facility		$991.77	$1,424.68	$2,990.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,127.94 / $2,640.45 / $5,135.79	Facility		$2,127.94	$2,640.45	$5,135.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,224.15 / $1,855.91 / $2,183.29	Professional		$1,224.15	$1,855.91	$2,183.29
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $416.31 / $416.31 / $416.31	Professional	80	$416.31	$416.31	$416.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00