Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,365.16 / $4,897.79	Facility		$912.01	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,238.72	Facility		$1,148.15	$1,479.11	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $1,995.26	Professional		$1,778.28	$1,949.84	$1,995.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $1,778.28	Professional		$977.24	$1,445.44	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	80	$331.13	$331.13	$331.13
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	AS	$331.13	$331.13	$331.13
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