Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.96 / $696.96 / $2,290.00	Facility		$696.96	$696.96	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $925.04 / $1,223.00 / $1,969.24	Facility		$925.04	$1,223.00	$1,969.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,112.28 / $1,662.72 / $2,326.56	Facility		$1,112.28	$1,662.72	$2,326.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $931.22 / $1,288.57 / $1,469.11	Professional		$931.22	$1,288.57	$1,469.11
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $285.04 / $285.04 / $285.04	Professional	80	$285.04	$285.04	$285.04
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $285.04 / $285.04 / $285.04	Professional	AS	$285.04	$285.04	$285.04
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