Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $4,365.16	Facility		$724.44	$724.44	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,905.46	Facility		$954.99	$1,230.27	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,659.59	Professional		$1,513.56	$1,659.59	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,445.44	Professional		$831.76	$1,230.27	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	80	$281.84	$281.84	$281.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	AS	$281.84	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28