Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.45 / $906.45 / $4,338.00	Facility		$906.45	$906.45	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,137.49 / $1,481.04 / $2,218.46	Facility		$1,137.49	$1,481.04	$2,218.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,217.52 / $3,711.03	Facility		$1,392.00	$2,217.52	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,050.82 / $1,445.26 / $1,777.03	Professional		$1,050.82	$1,445.26	$1,777.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $318.76 / $318.76 / $318.76	Professional	80	$318.76	$318.76	$318.76
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $318.76 / $318.76 / $318.76	Professional	AS	$318.76	$318.76	$318.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00