Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.63 / $1,186.63 / $4,338.00	Facility		$1,186.63	$1,186.63	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $972.69 / $1,487.06 / $3,200.17	Facility		$972.69	$1,487.06	$3,200.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,093.92 / $2,602.16 / $3,387.13	Facility		$2,093.92	$2,602.16	$3,387.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,253.68 / $1,864.35 / $2,149.65	Professional		$1,253.68	$1,864.35	$2,149.65
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $414.25 / $414.25 / $414.25	Professional	80	$414.25	$414.25	$414.25
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