Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.29 / $1,612.46 / $6,478.83	Facility		$745.29	$1,612.46	$6,478.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $978.05 / $1,259.54 / $1,970.66	Facility		$978.05	$1,259.54	$1,970.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,838.90 / $8,250.46	Facility		$1,285.00	$1,838.90	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $918.66 / $1,253.81 / $1,470.40	Professional		$918.66	$1,253.81	$1,470.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $276.16 / $276.16 / $276.16	Professional	80	$276.16	$276.16	$276.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $276.16 / $276.16 / $276.16	Professional	AS	$276.16	$276.16	$276.16
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