Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.15 / $686.15 / $4,338.00	Facility		$686.15	$686.15	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.70 / $1,159.58 / $1,796.50	Facility		$897.70	$1,159.58	$1,796.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,024.76 / $1,578.06 / $2,194.10	Facility		$1,024.76	$1,578.06	$2,194.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $864.78 / $1,191.01 / $1,407.01	Professional		$864.78	$1,191.01	$1,407.01
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $260.08 / $260.08 / $260.08	Professional	80	$260.08	$260.08	$260.08
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $260.08 / $260.08 / $260.08	Professional	AS	$260.08	$260.08	$260.08
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