Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.55 / $3,290.94 / $20,025.20	Facility		$744.55	$3,290.94	$20,025.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $902.37 / $1,176.27 / $1,911.15	Facility		$902.37	$1,176.27	$1,911.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,277.23 / $1,833.34 / $11,184.71	Facility		$1,277.23	$1,833.34	$11,184.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $817.22 / $1,243.51 / $1,479.46	Professional		$817.22	$1,243.51	$1,479.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $272.05 / $272.05 / $272.05	Professional	80	$272.05	$272.05	$272.05
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $272.05 / $272.05 / $272.05	Professional	AS	$272.05	$272.05	$272.05
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