Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.09 / $3,195.25 / $9,030.95	Facility		$763.09	$3,195.25	$9,030.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.51 / $1,305.03 / $2,018.10	Facility		$1,000.51	$1,305.03	$2,018.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,160.35 / $1,882.56 / $10,733.39	Facility		$1,160.35	$1,882.56	$10,733.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $946.72 / $1,291.53 / $1,509.22	Professional		$946.72	$1,291.53	$1,509.22
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $285.04 / $285.04 / $285.04	Professional	80	$285.04	$285.04	$285.04
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $285.04 / $285.04 / $285.04	Professional	AS	$285.04	$285.04	$285.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00