Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,365.16 / $5,623.41	Facility		$707.95	$4,365.16	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,905.46	Facility		$933.25	$1,202.26	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,659.59	Professional		$1,513.56	$1,621.81	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,445.44	Professional		$831.76	$1,230.27	$1,445.44
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