Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.20 / $920.20 / $2,290.00	Facility		$920.20	$920.20	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,113.07 / $1,613.93 / $2,581.23	Facility		$1,113.07	$1,613.93	$2,581.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,467.01 / $2,197.07 / $3,026.29	Facility		$1,467.01	$2,197.07	$3,026.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,215.54 / $1,679.10 / $1,914.82	Professional		$1,215.54	$1,679.10	$1,914.82
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $370.88 / $370.88 / $370.88	Professional	80	$370.88	$370.88	$370.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $370.88 / $370.88 / $370.88	Professional	AS	$370.88	$370.88	$370.88
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00