Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $4,365.16	Facility		$870.96	$870.96	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,290.87	Facility		$1,148.15	$1,479.11	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $1,995.26	Professional		$1,819.70	$1,995.26	$1,995.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,737.80	Professional		$1,000.00	$1,479.11	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	80	$331.13	$331.13	$331.13
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	AS	$331.13	$331.13	$331.13
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