Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.56 / $885.56 / $885.56	Facility		$885.56	$885.56	$885.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,164.99 / $6,738.26 / $21,383.11	Facility	50	$1,164.99	$6,738.26	$21,383.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,085.17 / $1,314.36 / $2,613.56	Facility		$1,085.17	$1,314.36	$2,613.56
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,342.36 / $2,984.52 / $5,709.92	Facility	50	$1,342.36	$2,984.52	$5,709.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,497.51 / $2,542.73 / $4,968.71	Facility		$1,497.51	$2,542.73	$4,968.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,090.04 / $1,649.43 / $1,880.54	Professional		$1,090.04	$1,649.43	$1,880.54
Sanford Health Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $1,017.31 / $1,017.31 / $1,017.31	Professional	50	$1,017.31	$1,017.31	$1,017.31
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $356.34 / $356.34 / $356.34	Professional	80	$356.34	$356.34	$356.34
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $356.34 / $356.34 / $356.34	Professional	AS	$356.34	$356.34	$356.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00