Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,570.88 / $5,248.07	Facility		$676.08	$4,570.88	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,995.26	Facility		$891.25	$1,174.90	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,584.89	Professional		$1,513.56	$1,584.89	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,412.54	Professional		$891.25	$1,230.27	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	80	$281.84	$281.84	$281.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	AS	$281.84	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32