Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.26 / $4,338.00 / $9,755.99	Facility		$772.26	$4,338.00	$9,755.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,013.05 / $1,273.61 / $2,025.07	Facility		$1,013.05	$1,273.61	$2,025.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,166.25 / $1,907.16 / $8,250.46	Facility		$1,166.25	$1,907.16	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $957.23 / $1,303.81 / $1,533.80	Professional		$957.23	$1,303.81	$1,533.80
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $287.49 / $287.49 / $287.49	Professional	80	$287.49	$287.49	$287.49
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $287.49 / $287.49 / $287.49	Professional	AS	$287.49	$287.49	$287.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $14,287.46	Facility		$4,500.00	$4,500.00	$14,287.46