Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,230.27 / $5,623.41	Facility		$346.74	$1,230.27	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,548.13	Facility		$1,584.89	$2,089.30	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $2,884.03	Professional		$2,691.53	$2,818.38	$2,884.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $2,570.40	Professional		$1,479.11	$2,187.76	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	AS	$501.19	$501.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93