Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,981.07 / $11,748.98	Facility		$660.69	$3,981.07	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,862.09	Facility		$870.96	$1,122.02	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,513.56	Professional		$1,380.38	$1,513.56	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,318.26	Professional		$812.83	$1,096.48	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	80	$251.19	$251.19	$251.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	AS	$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84