Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.89 / $16,067.44 / $16,067.44	Facility		$474.89	$16,067.44	$16,067.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.48 / $810.15 / $1,268.54	Facility		$625.48	$810.15	$1,268.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $887.67 / $1,181.27 / $8,250.46	Facility		$887.67	$1,181.27	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $583.19 / $800.10 / $934.12	Professional		$583.19	$800.10	$934.12
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $174.89 / $174.89 / $174.89	Professional	80	$174.89	$174.89	$174.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $174.89 / $174.89 / $174.89	Professional	AS	$174.89	$174.89	$174.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00