Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.52 / $4,032.11 / $6,478.83	Facility		$458.52	$4,032.11	$6,478.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.66 / $774.90 / $1,200.42	Facility		$601.66	$774.90	$1,200.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $850.82 / $1,132.48 / $3,711.03	Facility		$850.82	$1,132.48	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $559.40 / $766.01 / $901.13	Professional		$559.40	$766.01	$901.13
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $168.20 / $168.20 / $168.20	Professional	80	$168.20	$168.20	$168.20
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $168.20 / $168.20 / $168.20	Professional	AS	$168.20	$168.20	$168.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00