Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.32 / $4,563.60 / $5,281.92	Facility		$670.32	$4,563.60	$5,281.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $889.79 / $1,175.35 / $1,896.30	Facility		$889.79	$1,175.35	$1,896.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,070.80 / $1,600.47 / $2,237.92	Facility		$1,070.80	$1,600.47	$2,237.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $896.05 / $1,236.93 / $1,410.24	Professional		$896.05	$1,236.93	$1,410.24
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $274.49 / $274.49 / $274.49	Professional	80	$274.49	$274.49	$274.49
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $274.49 / $274.49 / $274.49	Professional	AS	$274.49	$274.49	$274.49
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00