Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.32 / $4,032.12 / $6,478.83	Facility		$718.32	$4,032.12	$6,478.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $944.90 / $1,214.25 / $1,871.28	Facility		$944.90	$1,214.25	$1,871.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,779.11 / $10,435.83	Facility		$1,089.00	$1,779.11	$10,435.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $873.56 / $1,205.93 / $1,418.65	Professional		$873.56	$1,205.93	$1,418.65
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $262.64 / $262.64 / $262.64	Professional	80	$262.64	$262.64	$262.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $262.64 / $262.64 / $262.64	Professional	AS	$262.64	$262.64	$262.64
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