Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.45 / $1,094.45 / $3,511.00	Facility		$1,094.45	$1,094.45	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $772.78 / $1,289.83 / $2,877.69	Facility		$772.78	$1,289.83	$2,877.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,924.47 / $2,389.11 / $4,487.25	Facility		$1,924.47	$2,389.11	$4,487.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,183.88 / $1,690.12 / $1,973.05	Professional		$1,183.88	$1,690.12	$1,973.05
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $376.93 / $376.93 / $376.93	Professional	80	$376.93	$376.93	$376.93
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