Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.43 / $3,773.51 / $11,849.21	Facility		$663.43	$3,773.51	$11,849.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.13 / $1,118.85 / $1,733.86	Facility		$870.13	$1,118.85	$1,733.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,634.49 / $8,250.46	Facility		$1,089.00	$1,634.49	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $813.49 / $1,108.59 / $1,304.15	Professional		$813.49	$1,108.59	$1,304.15
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $243.22 / $243.22 / $243.22	Professional	80	$243.22	$243.22	$243.22
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $243.22 / $243.22 / $243.22	Professional	AS	$243.22	$243.22	$243.22
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