Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.07 / $4,338.00 / $7,679.26	Facility		$617.07	$4,338.00	$7,679.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.03 / $1,035.64 / $1,493.63	Facility		$801.03	$1,035.64	$1,493.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,502.36 / $8,250.46	Facility		$1,089.00	$1,502.36	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $973.34 / $1,202.58	Professional		$708.44	$973.34	$1,202.58
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $213.75 / $213.75 / $213.75	Professional	80	$213.75	$213.75	$213.75
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $213.75 / $213.75 / $213.75	Professional	AS	$213.75	$213.75	$213.75
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