Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.61 / $5,545.58 / $13,625.06	Facility		$743.61	$5,545.58	$13,625.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $974.07 / $1,275.00 / $1,948.54	Facility		$974.07	$1,275.00	$1,948.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,834.80 / $10,818.11	Facility		$1,285.00	$1,834.80	$10,818.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $920.76 / $1,253.22 / $1,474.29	Professional		$920.76	$1,253.22	$1,474.29
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $275.52 / $275.52 / $275.52	Professional	80	$275.52	$275.52	$275.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $275.52 / $275.52 / $275.52	Professional	AS	$275.52	$275.52	$275.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00