Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.09 / $4,338.00 / $8,707.60	Facility		$879.09	$4,338.00	$8,707.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,147.70 / $1,473.88 / $2,193.76	Facility		$1,147.70	$1,473.88	$2,193.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,292.31 / $2,150.21 / $10,829.48	Facility		$1,292.31	$2,150.21	$10,829.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,037.89 / $1,426.97 / $1,716.87	Professional		$1,037.89	$1,426.97	$1,716.87
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $318.12 / $318.12 / $318.12	Professional	80	$318.12	$318.12	$318.12
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $318.12 / $318.12 / $318.12	Professional	AS	$318.12	$318.12	$318.12
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