Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,365.16 / $7,762.47	Facility		$616.60	$4,365.16	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,479.11	Facility		$794.33	$1,047.13	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,348.96	Professional		$1,202.26	$1,318.26	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,202.26	Professional		$724.44	$977.24	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	80	$218.78	$218.78	$218.78
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	AS	$218.78	$218.78	$218.78
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