Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.92 / $4,338.00 / $6,814.20	Facility		$834.92	$4,338.00	$6,814.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.11 / $1,394.28 / $2,156.51	Facility		$1,056.11	$1,394.28	$2,156.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,056.69 / $3,711.03	Facility		$1,392.00	$2,056.69	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,017.29 / $1,375.65 / $1,590.46	Professional		$1,017.29	$1,375.65	$1,590.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $306.66 / $306.66 / $306.66	Professional	80	$306.66	$306.66	$306.66
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $306.66 / $306.66 / $306.66	Professional	AS	$306.66	$306.66	$306.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00