Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.83 / $657.83 / $28,666.76	Facility		$657.83	$657.83	$28,666.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $858.66 / $1,129.53 / $1,701.87	Facility		$858.66	$1,129.53	$1,701.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,618.67 / $10,603.83	Facility		$1,089.00	$1,618.67	$10,603.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $806.20 / $1,107.50 / $1,302.85	Professional		$806.20	$1,107.50	$1,302.85
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $242.06 / $242.06 / $242.06	Professional	80	$242.06	$242.06	$242.06
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $242.06 / $242.06 / $242.06	Professional	AS	$242.06	$242.06	$242.06
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