Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.93 / $839.93 / $4,338.00	Facility		$839.93	$839.93	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,052.90 / $1,246.16 / $2,327.42	Facility		$1,052.90	$1,246.16	$2,327.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,405.00 / $2,404.52 / $4,968.71	Facility		$1,405.00	$2,404.52	$4,968.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $997.27 / $1,511.68 / $1,778.33	Professional		$997.27	$1,511.68	$1,778.33
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $334.20 / $334.20 / $334.20	Professional	80	$334.20	$334.20	$334.20
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $334.20 / $334.20 / $334.20	Professional	AS	$334.20	$334.20	$334.20
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