Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.32 / $18,072.13 / $18,072.13	Facility		$878.32	$18,072.13	$18,072.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,063.07 / $1,401.69 / $2,307.88	Facility		$1,063.07	$1,401.69	$2,307.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,329.10 / $2,170.44 / $21,204.61	Facility		$1,329.10	$2,170.44	$21,204.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,092.36 / $1,485.83 / $1,747.92	Professional		$1,092.36	$1,485.83	$1,747.92
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $327.64 / $327.64 / $327.64	Professional	80	$327.64	$327.64	$327.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $327.64 / $327.64 / $327.64	Professional	AS	$327.64	$327.64	$327.64
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