Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.54 / $977.54 / $977.54	Facility		$977.54	$977.54	$977.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.77 / $1,658.65 / $2,610.96	Facility		$1,288.77	$1,658.65	$2,610.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,499.91 / $2,257.96 / $3,080.54	Facility		$1,499.91	$2,257.96	$3,080.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,231.86 / $1,670.40 / $1,951.70	Professional		$1,231.86	$1,670.40	$1,951.70
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $370.24 / $370.24 / $370.24	Professional	80	$370.24	$370.24	$370.24
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $370.24 / $370.24 / $370.24	Professional	AS	$370.24	$370.24	$370.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00