Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.15 / $877.15 / $877.15	Facility		$877.15	$877.15	$877.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,149.52 / $1,445.74 / $2,284.84	Facility		$1,149.52	$1,445.74	$2,284.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,316.98 / $2,164.58 / $20,358.64	Facility		$1,316.98	$2,164.58	$20,358.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,081.66 / $1,481.43 / $1,742.75	Professional		$1,081.66	$1,481.43	$1,742.75
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $325.20 / $325.20 / $325.20	Professional	80	$325.20	$325.20	$325.20
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $325.20 / $325.20 / $325.20	Professional	AS	$325.20	$325.20	$325.20
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